Comminuted Talar Neck and Body Fracture: A Case Report

Authors

Chris Zimmer, HCA HealthcareFollow
Roshni Patel, HCA HealthcareFollow
Warren Windram, HCA Healthcare

Files

Division

East Florida

Hospital

HCA Florida Westside Hospital

Specialty

Podiatry

Document Type

Poster

Publication Date

2024

Keywords

fractures, talar fracture

Disciplines

Medicine and Health Sciences | Podiatry | Surgical Procedures, Operative | Wounds and Injuries

Abstract

Format: Case study

Length of follow up: 12 months

Level of evidence: IV

Classification: Trauma

Purpose: A combination of talar neck and body fractures are extremely rare which make up approximately <1% of all fractures in the body. They are most commonly associated with high energy trauma such as falling from a great height, motor vehicle accident, etc. Talar fractures are challenging problems to treat in terms of fixation, rates of avascular necrosis and much more. The purpose of this case report is to demonstrate that even with a severe talar fracture salvage is possible with proper surgical technique and understanding of the unique fracture pattern.

Case study: One patient underwent ORIF of a comminuted talar neck and body fracture with a lateral bridge plate and medial based interfragmentary compression screw.

Procedures: Open reduction internal fixation of talar neck and body fracture.

Results: 1 patient who demonstrated clinical and radiographic signs of healing of a talar neck and body fracture.

Analysis & Discussions: The rates of avascular necrosis of talar neck and body fractures varies in the literature, however the general consensus is that for hawkins type 2 talar neck fractures the risk of avascular necrosis is 50%. We demonstrate an isolated case report on a rare variant of a hawkins type 2 talar neck/body fracture that healed and did not have avascular necrosis. With stable strong fixation, and careful anatomic dissection excellent outcomes can be accomplished with patients who suffer a similar type injury.

Original Publisher

HCA Healthcare Graduate Medical Education

Recommended Citation

Zimmer, Chris; Patel, Roshni; and Windram, Warren, "Comminuted Talar Neck and Body Fracture: A Case Report" (2024). East Florida Division GME Research Day 2024. 48.
https://scholarlycommons.hcahealthcare.com/eastflorida2024/48