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Functional outcomes of 26 patients surgically treated talus fracture

Year 2024, Volume: 7 Issue: 6, 654 - 657, 27.10.2024

Abstract

Aims: This study evaluates whether trauma mechanisms, fracture types, and surgical treatment choices in cases of operatively treated talus fractures have an effect on the clinical outcomes of patients.
Methods: Twenty-six patients over the age of 18 who were surgically treated between 2019 and 2022 were included in the study. The collected data included age at the time of injury, gender, trauma characteristics (affected side, trauma mechanism, associated injuries), treatment characteristics (surgical delay, operation time, length of hospital stay), rates and types of revision surgery, and last follow-up date. The American Orthopaedic Foot & Ankle Society (AOFAS) Ankle-Hindfoot Score and a Visual Analogue Scale (VAS) were used to measure patient-reported outcomes.
Results: The mean age of the cohort was 33.6±11.8 years and it included 8 women (30.7%) and 18 men (69.2%). The most common trauma mechanisms were falls from a height (10 patients) and injuries sustained during traffic accidents (6 patients). The most common surgery performed was cannulated screw osteosynthesis (20 patients, 76.9%), followed by plate osteosynthesis (5 patients, 19.2%) and K-wire and screw osteosynthesis (1 patient, 3.9%). The mean VAS score was 1.9±2.1 (range: 0-8) and the mean AOFAS score was 67.2±25.5 (range: 17-97).
Conclusion: This study revealed that the selected surgical method, fracture type, and trauma mechanism did not have significant effects on patient-reported functional outcomes. These results suggest that, although talus fractures are rare, the need for surgical intervention and the occurrence of postoperative complications make these fractures a significant type of trauma.

References

  • Shibuya N, Davis ML, Jupiter DC. Epidemiology of foot and ankle fractures in the United States: an analysis of the National Trauma Data Bank (2007 to 2011). J Foot Ankle Surg. 2014;53(5): 606-608.
  • Amin S, Achenbach SJ, Atkinson EJ, Khosla S, Melton LJ. Trends in fracture incidence: a population-based study over 20 years. J Bone Miner Res. 2014;29(3):581-589.
  • Schwartz AM, Runge WO, Hsu AR, Bariteau JT. Fractures of the talus: current concepts. Foot Ankle Orthop. 2020;5(1): 2473011419900766.
  • Vints W, Matricali G, Geusens E, Nijs S, Hoekstra H. Long-term outcome after operative management of talus fractures. Foot Ankle Int. 2018;39(12):1432-1443.
  • García-Rey E, Sanz-Hospital FJ, Galdrán FJ, Cano-Egea JM, Alcázar LFL. Talar neck fractures: results and complications by type. Foot Ankle Surg. 2002;8(3):203-208.
  • Vallier HA, Nork SE, Barei DP, Benirschke SK, Sangeorzan BJ. Talar neck fractures: results and outcomes. J Bone Joint Surg Am. 2004;86(8):1616-1624.
  • Schulze W, Richter J, Russe O, Ingelfinger P, Muhr G. Surgical treatment of talus fractures: a retrospective study of 80 cases followed for 1-15 years. Acta Orthop Scand. 2002;73(3):344-351.
  • Oppermann J, Franzen J, Spies C, et al. The microvascular anatomy of the talus: a plastination study on the influence of total ankle replacement. Surg Radiol Anat 2014;36(5):487-494.
  • Halvorson JJ, Winter SB, Teasdall RD, Scott AT. Talar neck fractures: a systematic review of the literature. J Foot Ankle Surg. 2013;52(1):56-61.
  • Vallier HA. Fractures of the talus: state of the art. J Orthop Trauma. 2015;29(9):385-392.
  • Buza JA 3rd, Leucht P. Fractures of the talus: current concepts and new developments. Foot Ankle Surg. 2018;24(4):282-290.
  • Pannier S, Sutter PM, Sommer C, Studer HP. Long-term outcome after talus fractures in adults: a retrospective study of 47 patients. Foot Ankle Int. 2003;24(4):340-346.
  • Vincent CN, Venkatesan A, Rai D, Sm AK. Long-term outcome analysis of surgically treated talus fractures in a tertiary care hospital. Cureus. 2024;9;16(4):e57918.
  • Crate G, Robertson A, Martin A, Marlow NJ, Guryel E, Trompeter A. Talar neck and body fracture outcomes: a multicentre retrospective review. Eur J Orthop Surg Traumatol. 2023;33(1):99-105.
  • Canale ST, Kelly FB. Fractures of the neck of the talus. Long-term evaluation of seventy-one cases. J Bone Joint Surg Am. 1978; 60(2):143-156.
  • Grob D, Simpson LA. Complications following talar neck fractures. Foot Ankle Int. 2004;25(11):795-799.
  • Sanders DW, Busam M, Hattwick E, Edwards JR, O’Brien PJ. Functional outcome of talar neck fractures treated with ORIF. Foot Ankle Int. 2004;25(10):716-721.
  • Fortin PT, Balazsy JE. Talus fractures: evaluation and treatment. J Am Acad Orthop Surg. 2001;9(2):114-127.
  • Raikin SM, Puri S, Benner RW, Espandar R. Vascular anatomy of the talus: its relation to talar fractures and surgical approaches. Foot Ankle Clin. 2004;9(4):605-615.
Year 2024, Volume: 7 Issue: 6, 654 - 657, 27.10.2024

Abstract

References

  • Shibuya N, Davis ML, Jupiter DC. Epidemiology of foot and ankle fractures in the United States: an analysis of the National Trauma Data Bank (2007 to 2011). J Foot Ankle Surg. 2014;53(5): 606-608.
  • Amin S, Achenbach SJ, Atkinson EJ, Khosla S, Melton LJ. Trends in fracture incidence: a population-based study over 20 years. J Bone Miner Res. 2014;29(3):581-589.
  • Schwartz AM, Runge WO, Hsu AR, Bariteau JT. Fractures of the talus: current concepts. Foot Ankle Orthop. 2020;5(1): 2473011419900766.
  • Vints W, Matricali G, Geusens E, Nijs S, Hoekstra H. Long-term outcome after operative management of talus fractures. Foot Ankle Int. 2018;39(12):1432-1443.
  • García-Rey E, Sanz-Hospital FJ, Galdrán FJ, Cano-Egea JM, Alcázar LFL. Talar neck fractures: results and complications by type. Foot Ankle Surg. 2002;8(3):203-208.
  • Vallier HA, Nork SE, Barei DP, Benirschke SK, Sangeorzan BJ. Talar neck fractures: results and outcomes. J Bone Joint Surg Am. 2004;86(8):1616-1624.
  • Schulze W, Richter J, Russe O, Ingelfinger P, Muhr G. Surgical treatment of talus fractures: a retrospective study of 80 cases followed for 1-15 years. Acta Orthop Scand. 2002;73(3):344-351.
  • Oppermann J, Franzen J, Spies C, et al. The microvascular anatomy of the talus: a plastination study on the influence of total ankle replacement. Surg Radiol Anat 2014;36(5):487-494.
  • Halvorson JJ, Winter SB, Teasdall RD, Scott AT. Talar neck fractures: a systematic review of the literature. J Foot Ankle Surg. 2013;52(1):56-61.
  • Vallier HA. Fractures of the talus: state of the art. J Orthop Trauma. 2015;29(9):385-392.
  • Buza JA 3rd, Leucht P. Fractures of the talus: current concepts and new developments. Foot Ankle Surg. 2018;24(4):282-290.
  • Pannier S, Sutter PM, Sommer C, Studer HP. Long-term outcome after talus fractures in adults: a retrospective study of 47 patients. Foot Ankle Int. 2003;24(4):340-346.
  • Vincent CN, Venkatesan A, Rai D, Sm AK. Long-term outcome analysis of surgically treated talus fractures in a tertiary care hospital. Cureus. 2024;9;16(4):e57918.
  • Crate G, Robertson A, Martin A, Marlow NJ, Guryel E, Trompeter A. Talar neck and body fracture outcomes: a multicentre retrospective review. Eur J Orthop Surg Traumatol. 2023;33(1):99-105.
  • Canale ST, Kelly FB. Fractures of the neck of the talus. Long-term evaluation of seventy-one cases. J Bone Joint Surg Am. 1978; 60(2):143-156.
  • Grob D, Simpson LA. Complications following talar neck fractures. Foot Ankle Int. 2004;25(11):795-799.
  • Sanders DW, Busam M, Hattwick E, Edwards JR, O’Brien PJ. Functional outcome of talar neck fractures treated with ORIF. Foot Ankle Int. 2004;25(10):716-721.
  • Fortin PT, Balazsy JE. Talus fractures: evaluation and treatment. J Am Acad Orthop Surg. 2001;9(2):114-127.
  • Raikin SM, Puri S, Benner RW, Espandar R. Vascular anatomy of the talus: its relation to talar fractures and surgical approaches. Foot Ankle Clin. 2004;9(4):605-615.
There are 19 citations in total.

Details

Primary Language English
Subjects Orthopaedics
Journal Section Original Article
Authors

İbrahim Bozkurt 0000-0003-2232-3129

Baran Sarıkaya 0000-0002-9886-7221

Publication Date October 27, 2024
Submission Date September 18, 2024
Acceptance Date October 14, 2024
Published in Issue Year 2024 Volume: 7 Issue: 6

Cite

AMA Bozkurt İ, Sarıkaya B. Functional outcomes of 26 patients surgically treated talus fracture. J Health Sci Med / JHSM. October 2024;7(6):654-657.

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