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Atypical Talus Fracture: A Case Report
Rajesh Kumar Vemparala1, Giriprasad Rajan1, Sathyanarayanan Narayanan1
1Department of Orthopaedics, Athani Hospitals, Palakkad, Kerala, India.
Journal of Orthopaedic Case Reports
|July 31, 2023
Summary
This study reports an atypical talus fracture case, highlighting successful surgical fixation and rehabilitation. Early intervention and tailored treatment are crucial for restoring ankle function after complex talus fractures.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Radiology
Background:
- Talus fractures are rare but severe injuries impacting foot and ankle mobility.
- Talar neck and body fractures account for 40% of talus injuries, often resulting from high-energy trauma.
- The talus's extensive articular cartilage and role in force transmission necessitate precise fracture management.
Observation:
- An atypical talus fracture case involving the lateral talar process and body in the coronal plane is presented.
- The patient, a 28-year-old male, sustained the injury from a fall.
- Radiological imaging revealed a fracture line extending from the posterior lateral talar process into the body.
Findings:
- Open reduction and internal fixation were performed via an open approach.
- A rigorous rehabilitation protocol was implemented post-surgery.
- At three months, the fracture showed satisfactory healing with no articular surface irregularities, enabling pain-free ambulation and full ankle range of motion.
Implications:
- Open reduction and internal fixation can effectively restore joint congruency in complex talus fractures.
- Customized treatment based on fracture morphology is essential for optimal outcomes.
- Prompt diagnosis and appropriate perioperative care are critical for preventing post-traumatic arthritis and regaining function.
