Abstract
Comminuted talar fractures are commonly the result of high-energy trauma. In the literature, the timing for treatment of comminuted talar fractures remains controversial, even in the presence of multiple injuries. We present the case of a stable patient with multiple long bone injuries and a comminuted talar fracture, the subsequent management and outcome, and review the current literature for management of comminuted talar fractures.
Highlights
We present the case of a stable patient with multiple musculoskeletal injuries and a comminuted talar fracture, the subsequent management and outcome, and review the current literature for management of comminuted talar fractures
The blood supply of the talus is clearly vulnerable after traumatic injury.[2]
Comminuted fractures involving the neck and body carry a risk of osteonecrosis due to the retrograde blood supply[5] Irreversible osteochondral injury to the tibiotalar, subtalar, and talonavicular joints can lead to early post-traumatic arthrosis
Summary
Timing of Definitive Fixation for Comminuted Talar Fracture in Patient with Multiple Injuries by Wenjay Sung, DPM1 , Michael Ryan, DPM2 , Ivan S. Patient management and outcome are discussed and the relevant current literature is reviewed Comminuted talar fractures are commonly the result of high-energy trauma and frequently associated with multiple injuries. These injuries are treated in descending order from most life threatening, and the definitive treatment of talar fracture may be staged.[16] the risk of developing osteonecrosis has been suggested with delayed fixation in displaced fracture variants[4]. Kaufmann Medical Building, 3471 Fifth Avenue, Pittsburgh, PA 15213. We present the case of a stable patient with multiple musculoskeletal injuries and a comminuted talar fracture, the subsequent management and outcome, and review the current literature for management of comminuted talar fractures
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