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[Long-term results of talus fractures]
M Isay1, R Wolvius, P E Ochsner
1Orthopädische Klinik, Kantonsspital Liestal.
Zeitschrift Fur Unfallchirurgie Und Versicherungsmedizin : Offizielles Organ Der Schweizerischen Gesellschaft Fur Unfallmedizin Und Berufskrankheiten = Revue De Traumatologie Et D'Assicurologie : Organe Officiel De La Societe Suisse De
|January 1, 1992
Abstract:
In a retrospective study we analysed 29 operative treated fractures of the Talus. The classification of Marti and Weber has been used in this study. The incidence of necrosis was 17% of the group III and IV and that one of arthritis 27%. There was no infection in our series. We doubt that a longterm non weight-bearing with a caliper brace has an effect on the outcome of a necrosis of the Talus. The evidence of the Hawkins' sign on the ap-radiograph at 6-8 weeks is a good and simple parameter of the vitality of the Talus.
Insights
This study on talus fractures found that Hawkins
Area of Science:
- Orthopedic Surgery
- Traumatology
- Radiology
Context:
- Retrospective analysis of 29 surgically treated talus fractures.
- Utilized the Marti and Weber classification system.
- Assessed outcomes including necrosis, arthritis, and infection.
Purpose:
- To evaluate the outcomes of operative talus fracture treatment.
- To investigate the efficacy of non-weight-bearing with a caliper brace for talus necrosis.
- To determine the prognostic value of Hawkins' sign for talus vitality.
Summary:
- Incidence of talus necrosis was 17% in Marti and Weber groups III and IV.
- Arthritis occurred in 27% of cases; no infections were reported.
- Long-term non-weight-bearing with a caliper brace may not influence talus necrosis outcomes.
Impact:
- Hawkins' sign on anteroposterior radiographs at 6-8 weeks is a reliable indicator of talus vitality.
- Findings question the effectiveness of prolonged non-weight-bearing for talus necrosis.
- Highlights the prognostic significance of early radiographic signs in talus fracture management.