Bimalleolar Osteotomy for the Surgical Approach to a Talar Body Fracture: Case Report

Foot & Ankle International, 05/10/2012

Fracture of the talar body constitutes one of the most difficult fractures of the foot and ankle to treat operatively and is associated with high rates of postoperative complications and long term morbidity. Complications include the development of post–traumatic arthropathy due to articular damage at the time of injury, failure to obtain an anatomic reduction, or avascular necrosis with secondary collapse and deformity of the talus. Rates of avascular necrosis following this injury range from 25% to 50% in the literature. Clinical outcomes appear to be related to the amount of comminution and the presence of subtalar dislocation at the time of injury.

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