Arthroscopic Treatment of Talar Body Fractures

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Presentation transcript:

Arthroscopic Treatment of Talar Body Fractures Nicholas B. Jorgensen, M.B.B.S., Michael Lutz, M.B.B.S., F.R.A.C.S.(Orth) Arthroscopy Techniques Volume 3, Issue 2, Pages e271-e274 (April 2014) DOI: 10.1016/j.eats.2013.12.002 Copyright © 2014 Terms and Conditions

Fig 1 Axial computed tomography slice showing an intra-articular lateral talar head fracture in a 37-year-old man who was treated with ARIF and a single headless compression screw (case 1). (ARIF, arthroscopic reduction–internal fixation.) Arthroscopy Techniques 2014 3, e271-e274DOI: (10.1016/j.eats.2013.12.002) Copyright © 2014 Terms and Conditions

Fig 2 Axial computed tomography slice showing an intra-articular posterolateral talar head fracture in a 22-year-old man who was treated with excision of the fracture fragment and microfracture (case 2). Arthroscopy Techniques 2014 3, e271-e274DOI: (10.1016/j.eats.2013.12.002) Copyright © 2014 Terms and Conditions

Fig 3 Arthroscopic views of the right ankle from the posteromedial portal in the case of a 37-year-old man with an intra-articular lateral talar head fracture (case 1). (A) The tibial surface (A), depressed posterolateral talar body fracture (B), and resultant inflammatory tissue are visualized. Clearance of the synovial and inflammatory tissue took place to access the fracture site. (B) The tibial surface (A), reduced talar articular surface (B), and 4-mm osteotome (C) are visualized. Percutaneously derived calcaneal bone graft was inserted into the subchondral fracture impaction void. (C) Talar fixation was achieved with a single 3.5-mm headless cannulated screw from posterior to anterior, with calcaneal bone graft inserted into the subchondral fracture impaction void. Arthroscopy Techniques 2014 3, e271-e274DOI: (10.1016/j.eats.2013.12.002) Copyright © 2014 Terms and Conditions

Fig 4 Lateral radiograph obtained 6 months postoperatively showing a united fracture in the case of a 37-year-old man with an intra-articular lateral talar head fracture (case 1). (R, right; EM, equivalent man; WT, weight.) Arthroscopy Techniques 2014 3, e271-e274DOI: (10.1016/j.eats.2013.12.002) Copyright © 2014 Terms and Conditions