Technical Tip: Talar Neck Fixation Strategy Based on Fracture Variants

We present a reliable observation of the morphology of talar neck fractures and demonstrate how this can be used to justify a pragmatic fixation method. The “anatomic” versus the “surgical” neck can be determined from the routine preoperative imaging. Appreciation of which fracture variant is present guides the fixation strategy as outlined. Our department has adopted this fixation principle over a 5-year period for a consecutive series of 8 talar neck fractures. Over our series we have not observed any loss in reduction or avascular necrosis. We would propose that talar neck fixation should be based on the location of the primary fracture line and the presence of medial comminution.

Source: Techniques in Orthopaedics - November 29, 2020 Category: Orthopaedics Tags: Special Technical Articles Source Type: research