Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Short-term Results of Talar Neck Fractures

거골 경부 골절의 단기간 추시 결과

  • Kim, Jong-Oh (Department of Orthopaedic Surgery, College of Medicine, Ewha Womans University) ;
  • Yun, Yeo-Hun (Department of Orthopaedic Surgery, College of Medicine, Ewha Womans University) ;
  • Kim, Dong-Wook (Department of Orthopaedic Surgery, College of Medicine, Ewha Womans University) ;
  • Koh, Young-Do (Department of Orthopaedic Surgery, College of Medicine, Ewha Womans University) ;
  • Yoo, Jae-Doo (Department of Orthopaedic Surgery, College of Medicine, Ewha Womans University) ;
  • Cho, Choong-Ho (Department of Orthopaedic Surgery, College of Medicine, Ewha Womans University)
  • 김종오 (이화여자대학교 의과대학 정형외과학교실) ;
  • 윤여헌 (이화여자대학교 의과대학 정형외과학교실) ;
  • 김동욱 (이화여자대학교 의과대학 정형외과학교실) ;
  • 고영도 (이화여자대학교 의과대학 정형외과학교실) ;
  • 유재두 (이화여자대학교 의과대학 정형외과학교실) ;
  • 조중호 (이화여자대학교 의과대학 정형외과학교실)
  • Published : 2001.06.01
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Abstract

Study design: Clinical results were retrospectively analyzed in 11 patients with fractures of talar neck who were treated in our department from Jan. 1994 to Dec. 1999. Objective: The purpose of this study is to evaluate the short-term results and to assess the prognostic factors of talar neck fractures. Material and Method: 11 cases with fractures of talar neck were reviewed retrospectively with minimum 1 year follow-up. There were 8 men & 3 women, and the average age was 25. The most common cause was traffic accident. According to the modified Hawkins classification, type I was in 4 cases, type II in 5, type III in 2, and type IV was none. All type I fractures were treated conservatively, and others were treated operatively. Results: According to Hawkins criteria, there was excellent result in 7 cases(64%), good in 2(18%), and fair in 2(18%). Post-traumatic arthritis occurred in 2 cases, but there was no avascular necrosis. Conclusion: Careful selection of method of treatment and urgent management are important prognostic factors in talar neck fractures. The longer follow-up in more cases is necessary to evaluate the long-term clinical results and complications more accurately.

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