Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Screw Fixation Techniques for Talar Neck Fractures (Anterior versus Posterior insertion)

거골 경부 골절의 나사못 고정 방향에 따른 결과 비교

  • Shin, Dong-Eun (Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University) ;
  • Yoon, Hyung-Ku (Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University) ;
  • Choi, Woo-Jin (Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University) ;
  • Lee, Yoon-Seok (Department of Orthopaedic Surgery, CHA Gumi Medical Center, CHA university) ;
  • Han, Seung-Chul (Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University)
  • 신동은 (차의과학대학교 분당차병원 정형외과) ;
  • 윤형구 (차의과학대학교 분당차병원 정형외과) ;
  • 최우진 (차의과학대학교 분당차병원 정형외과) ;
  • 이윤석 (차의과학대학교 구미차병원 정형외과) ;
  • 한승철 (차의과학대학교 분당차병원 정형외과)
  • Received : 2010.04.19
  • Accepted : 2010.05.13
  • Published : 2010.06.15
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Abstract

Purpose: To compare the clinical and radiological results between the anterior and posterior screw fixation for the treatment of talar neck fracture. Materials and Methods: Among 30 patients who received surgical treatment for talar neck fracture from 2001 to 2008. Twenty-seven patients with a follow-up period of more than 1 year were divided into two groups. Twelve patients were treated with anterior screw fixation and 15 patients with posterior approaches. We analyzed preoperative, postoperative and follow-up radiographs. Clinical results were evaluated by Hawkins criteria. Results: The posteriorly inserted screws were placed across the more central portion of the talar neck and perpendicular to the plane of fracture (p<0.05). There were no difference in clinical results, the duration of union, and complications including avascular necrosis between two groups. However, 2 patients complained of pain around the talonavicular joint in the anterior insertion group. Conclusion: Although the clinical results were good irrespective of insertion methods, the posterior approach of screw fixation for talar neck fractures allows for a better mechanical advantage than anterioly placed screws. This may allow early motion with a reduced risk of failure of fixation or of displacement of the fracture.

Keywords

References

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