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Surgical Treatment of Posteromedial Talus Fractures: Technique Description and Results of 10 Cases

  • Symposium - Hindfoot and Ankle Trauma
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Abstract

Background

The aim of this study is to describe a surgical technique for successful treatment of posteromedial talar body fractures and establish treatment recommendations for fractures of the posterior aspect of the talus.

Materials and Methods

Ten patients treated operatively for a posteromedial talar body fractures entering both the subtalar and ankle articulations with a minimum of 1-year followup were identified from a trauma database. Age, mechanism of injury, associated injuries, time to surgery, complications, the range of motion, secondary procedures, and need for arthrodesis were evaluated.

Results

Followup averaged 4.8 years (1–10). Eight of ten patients had high-energy mechanisms of injury. Six patients had associated medial subtalar dislocations with two open. Associated injuries were common. No surgical complications occurred. The range of motion was present but decreased. No arthrodesis procedures were performed.

Conclusions

Operative fixation of posteromedial talus fractures with the described surgical technique resulted in acceptable outcomes in this series of patients with improved outcomes when compared to prior reports in the literature.

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Authors and Affiliations

  1. Colorado Center for Orthopedic Excellence, Colorado Springs, Colorado, US

    John Shank

  2. Department of Orthopedics and Sports Medicine, Harborview Medical Center, University of Washington, Seattle, WA, USA

    Stephen Benirschke

  3. Department of Surgery, Michigan Orthopedic Center, Sparrow Hospital, 2815 S, Pennsylvania Ave, Suite 204, Lansing, Michigan, 48823, USA

    Michael Swords

Authors
  1. Michael Swords
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  2. John Shank
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  3. Stephen Benirschke
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Correspondence to Michael Swords.

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Swords, M., Shank, J. & Benirschke, S. Surgical Treatment of Posteromedial Talus Fractures: Technique Description and Results of 10 Cases. IJOO 52, 269–275 (2018). https://doi.org/10.4103/ortho.IJOrtho_646_17

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  • DOI: https://doi.org/10.4103/ortho.IJOrtho_646_17

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