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Case for small group discussion
Talar fracture Case for small group discussion AOTrauma—Foot & Ankle Module 2b: Hindfoot trauma—talar fractures Stefan Rammelt, DE
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Case description 15-year-old girl Fell from a horse
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Questions Diagnosis? Management? Approaches? Timing?
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Intraoperative images
Medial approach Lateral approach
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2.5-year follow-up
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2.5-year follow-up
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Take-home messages CT scans are essential for planning approaches/reduction Anatomical reduction of joint facets Beware of lateral process fractures Stable fixation (screws, minifragment plates) Early motion (after soft-tissue consolidation)
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References Rammelt et al. Injury. 2009;40:120–135. Rammelt et al. Foot Ankle Clin. 2006;11:61–84, viii. References: Rammelt S, Zwipp H. Talar neck and body fractures. Injury Feb;40(2):120–135. Rammelt S, Winkler J, Grass R, et al. Reconstruction after talar fractures. Foot Ankle Clin Mar;11(1):61–84, viii.
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