[Knowledge about and therapy of Shepherd's fracture]

Area of Science:

• Orthopedic surgery
• Traumatology

Background:

• Shepherd's fracture, a compression of the distal talus, has a high complication rate.
• Existing treatments for Shepherd's fracture are often associated with complications.

Purpose of the Study:

• To present an effective surgical approach for Shepherd's fracture.
• To reduce complications associated with Shepherd's fracture treatment.

Main Methods:

• Surgical reconstruction of the distal talus.
• Implantation of autogenous cancellous bone graft.

Main Results:

• This therapeutic approach can avoid avascular bone necrosis.
• Timely surgical intervention is crucial for successful outcomes.

Conclusions:

• Surgical reconstruction with autogenous bone graft is the preferred treatment for Shepherd's fracture.
• Early intervention and appropriate surgical technique minimize complications and prevent avascular necrosis.