UNUSUAL ANKLE FRACTURE: A LITERATURE REVIEW

Abstract

Background:- Fractures of the talus are unusual, and talar body fractures in the sagittal plane are still rarer. Its treatment aims a crucial anatomic reduction to reimpose congruency of the ankle and decrease the risk of avascular necrosis by conserving any remaining blood supply. We present the case of a body talar fracture in the sagittal plane related to fracture of the medial malleolus in an adult. The mechanism of the fracture was, internal rotation, plantar hyperexion, and axial compression. We performed an open reduction and stabilization with two screws for the talus and screwed the medial malleolus. Material & Methods:- We included 30 patients in this study among which a 25 years old man presented in Department Of Orthopaedics, Mgmmch, Jamsehedpur, Jharkhand with a grossly expand and deformed right ankle. Radiographs revealed a displaced vertical fracture of the neck of the talus traversing through the body with vertical fracture of the medial malleolus and medial talar shift. Results:- Fractures of the talus have a relatively little incidence accounting for 0.3% of all bone fractures and 3% to 6% of all foot fractures.[1,2] Union of the fracture in such a case is extremely slow as it depends on a new blood supply growing into the avascular bone.[3] Hence, the fracture needs preservation for a long time, and non-weight bearing is recommended for three months or until the union has occurred. Malunion can produce substantial alteration in load across the ankle and subtalar joints and result in arthrosis. The reported case should have the best prognosis as it was closed and underwent immediate operative reduction with early signs of revascularization. After 13 months following the injury, the patient had the best range of movement with some pain. Conclusion:- Talar body fracture associated with ankle fracture is very rare. Still, the malleolar fracture that allows adequate visualisation, anatomical reduction, and appropriate fracture xation can give us hope to reduce complications.