Open reduction and internal fixation of the talus posterior fracture process by headless compression cannulated screw through a posteromedial approach
YAO Gong
YU Shen-min
CAI Bing
LIN Wen
ZHANG Peng-yi
GUI Jing
Abstract：Objective To evaluate the effects of treating talus posterior fracture by headless compression cannulated screw through posteromedial approach.Methods From Jan.2012 to Dec.2015,5 cases of talus poste-rior fracture were treated,including 3 males and 2 females,aged from 27 to 62 years,with an average of 46.2 years. One case had a simple fracture,and 4 patients had associated joint dislocation.All cases were diagnosed by X-ray and CT scan and treated by headless compression cannulated screw through posteromedial approach.After the soft tissue swelling subsided,about 1 week after injury(4-10days),surgical treatment was applied.Postoperative X-ray films were reviewed regularly and the results were evaluated using the American Orthopaedic Foot & Ankle Society (AOFAS).Results All cases were followed up from 8 to 14 months with an average of 12.3 months.They had no postoperative wound infection,and had no nerve injury.The average score of AOFAS was 84(57-94).Only one pa-tient had traumatic arthritis after 1 year.Conclusion Open reduction and internal fixation of the talus posterior fracture process by headless compression cannulated screw through posteromedial approach can not only clearly show fractures and articular surface,but also can avoid malleolus osteotomy.
Keywords：talus fractureapproachinternal fixation
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 118-120 )