A novel method using bone peg fixation for acute osteochondral fracture of the talus: a surgical technique
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The osteochondral fracture of the talus is an uncommon condition, therefore, there are controversies for the optimal treatment. We report a novel surgical technique of bone peg fixation for osteochondral fracture of the talus.
Materials and methods
We report two cases that underwent bone peg fixation for the acute osteochondral fractures of talus. Clinical and radiographic evaluations were performed at the last follow-up.
At the last follow-up, mean ROM of ankle joint was 50° (range 45°–55°). Additionally, mean VAS and AOFAS score were 0 and 100 at the last follow-up, respectively. All patients obtained bone union without complication at the last follow-up radiographs.
This case study shows good clinical and radiographic results with autologous bone peg fixation in patients with acute osteochondral fractures of the talus.
Level of evidence
V, expert opinion.
KeywordsTalus Osteochondral fracture Fixation Bone pegs
There is no funding source.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
This study was approved by the medical ethics committee of the hospital. The study was conducted in compliance with the Declaration of Helsinki.
Informed consent was obtained from all individual participants included in the study.
- 2.Chew KT, Tay E, Wong YS (2008) Osteochondral lesions of the talus. Ann Acad Med Singap 37(1):63–68Google Scholar
- 9.Kumahashi N, Kuwata S, Imade S, Kono M, Takuwa H, Uchio Y (2014) Fixation of osteochondral fractures of the patella using autologous bone screws when reconstructing the medial patellofemoral ligament after recurrent patellar dislocation: report of two cases. J Orthop Sci 19(2):359–364. https://doi.org/10.1007/s00776-012-0285-x CrossRefGoogle Scholar
- 18.Zilch H, Friedebold G (1981) [Fixing of osteochondral fragments with fibrinogen glue. Clinical experiences (author’s transl)]. Aktuelle Traumatol 11(4):136–140Google Scholar