JLE

Médecine et chirurgie du pied

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Surgical Treatment of Talus Fractures: About 15 Cases Volume 32, issue 1, Mars 2016

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  • Tableau 1
Authors

Fractures of the talus are relatively rare and often associated with a high-energy trauma. Their treatment is often surgical and the results are often disappointing because of the specific anatomy of the talus. The prognosis is determined by the high percentage of posttraumatic osteoarthritis and the development of avascular necrosis of the talus. We present a retrospective study of 15 patients, who were treated surgically between 2008 and 2014. The average follow-up period was 29 months (10–96 months). All patients were men and the mean age was 27 years (17–52 years). Most of the fractures were linked to a high-energy trauma, especially traffic accidents (60%). The most frequent fractures were the fracture of the neck, which was 54% of the entire series. Functional results were evaluated using the Kitaoka score. The overall results were excellent in 2 cases, good in 7 cases, fair in 5, and poor in 1 case. The most common complication was subtalar osteoarthritis. We found no cases of avascular necrosis of the body of the talus.