Operative Treatment of Hawkins Type Ⅲ Talar Neck Fracture through Medial Malleolar Osteotomy Approach and Mini-plate Fixation
Abstract：Objective To introduce a surgical treatment of Hawkins type Ⅲ talar neck fracture through medial malleolar osteotomyapproach and mini-plate fixation and discuss the therapeutic effects. Methods From January 2008 to March 2014, 15 patients of complex talar body fracture were treated through approach of internal malleolus osteotomy and mini-plate for fixa-tion. The clinical effects was assessed depend on the complaints,functions and radiological results of the ankle and subtalar joint. Results All the patients were followed up 18 t o 41 months with anaverage of 29. 6 months. The average Ankle-Hindfoot score of AOFAS was(79. 8 ± 17. 3). And according to the score,6 patients were rated as being excellent,3 patient s good,4 fair and 1 poor. The total rate of being excellent to good was 64. 3% . Complications occurred at their final follow-up,including three avascular osteonecrosis of talar neck cases,six cases of post-traumatic arthritis. Conclusion Operative treatment of Haw-kins type Ⅲ talar neck fracture through medial malleolar osteotomy and mini-plate fixation have the characteristicsof less soft tissue trauma,adequate exposure of talar neck,less incidences of complications,and satisfactory clinical results.
Keywords：hawkins type Ⅲtalar neck fracturemedial malleolar osteotomyMini-plate
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 799-801 )