Advertisement

Talar Body Fractures

  • Mai P. Nguyen
  • Heather A. VallierEmail author
Chapter
  • 41 Downloads

Abstract

Talar body fractures are uncommon and poorly defined. Treatment is directed toward restoration of articular congruity, often via direct surgical approaches. With careful attention to surgical timing and technique, complications should be limited to those associated with characteristics of the initial injury including direct damage to the soft tissues, blood supply, cartilage, and bone. Complications are common, and long-term functional outcomes are limited after severe injuries.

Keywords

Talus Talus fracture Talar body Body Osteonecrosis Arthritis Complications 

Abbreviations

AO

Arbeitsgemeinschaft fur Osteosynthesesfragen

OTA

Orthopaedic Trauma Association

PTOA

Post-traumatic osteoarthrosis

References

  1. 1.
    Sneppen O, Christensen SB, Krogsoe O, Lorentzen J. Fracture of the body of the talus. Acta Orthop Scand. 1977;48(3):317–24.CrossRefGoogle Scholar
  2. 2.
    Vallier HA, Nork SE, Benirschke SK, Sangeorzan BJ. Surgical treatment of talar body fractures. J Bone Joint Surg Am. 2003;85-A(9):1716–24.CrossRefGoogle Scholar
  3. 3.
    Ebraheim NA, Patil V, Owens C, Kandimalla Y. Clinical outcome of fractures of the talar body. Int Orthop. 2008;32(6):773–7.CrossRefGoogle Scholar
  4. 4.
    Vallier HA. Fractures of the talus: state of the art. J Orthop Trauma. 2015;29(9):385–92.CrossRefGoogle Scholar
  5. 5.
    Higgins TF, Baumgaertner MR. Diagnosis and treatment of fractures of the talus: a comprehensive review of the literature. Foot Ankle Int. 1999;20(9):595–605.CrossRefGoogle Scholar
  6. 6.
    Inokuchi S, Ogawa K, Usami N. Classification of fractures of the talus: clear differentiation between neck and body fractures. Foot Ankle Int. 1996;17(12):748–50.CrossRefGoogle Scholar
  7. 7.
    Gelberman RH, Mortensen WW. The arterial anatomy of the talus. Foot Ankle. 1983;4(2):64–72.CrossRefGoogle Scholar
  8. 8.
    Miller AN, Prasarn ML, Dyke JP, Helfet DL, Lorich DG. Quantitative assessment of the vascularity of the talus with gadolinium-enhanced magnetic resonance imaging. J Bone Joint Surg Am. 2011;93(12):1116–21.CrossRefGoogle Scholar
  9. 9.
    Mulfinger GL, Trueta J. The blood supply of the talus. J Bone Joint Surg Br. 1970;52(1):160–7.CrossRefGoogle Scholar
  10. 10.
    Lindvall E, Haidukewych G, DiPasquale T, Herscovici D Jr, Sanders R. Open reduction and stable fixation of isolated, displaced talar neck and body fractures. J Bone Joint Surg Am. 2004;86-A(10):2229–34.CrossRefGoogle Scholar
  11. 11.
    Canale ST, Kelly FB Jr. Fractures of the neck of the talus. Long-term evaluation of seventy-one cases. J Bone Joint Surg Am. 1978;60(2):143–56.CrossRefGoogle Scholar
  12. 12.
    Sanders D. Talus fractures. In: Bucholz RW, Heckman J, Court-Brown CM, Tornetta P, editors. Rockwood and Green’s fractures in adults. Philadelphia: Lippincott Williams & Wilkins; 2006. p. 2043.Google Scholar
  13. 13.
    Marsh JL, Slongo TF, Agel J, Broderick JS, Creevey W, DeCoster TA, Prokuski L, Sirkin MS, Ziran B, Henley B, Audige L. Fracture and dislocation classification compendium – 2007: Orthopaedic trauma association classification, database and outcomes committee. J Orthop Trauma. 2007;21(10 Suppl):S1–133.CrossRefGoogle Scholar
  14. 14.
    Boyd HB, R K. Fractures of the astragalus. South Med J. 1942;35:160.CrossRefGoogle Scholar
  15. 15.
    Mindell ER, E C, Kartalian G. Late results of injuries to the talus. J Bone Joint Surg Am. 1963;45:221.CrossRefGoogle Scholar
  16. 16.
    Kenwright J, Taylor RG. Major injuries of the talus. J Bone Joint Surg Br. 1970;52(1):36–48.CrossRefGoogle Scholar
  17. 17.
    Coltart WD. Aviator’s astragalus. J Bone Joint Surg Br. 1952;34-B(4):545–66.CrossRefGoogle Scholar
  18. 18.
    Bellamy JL, Keeling JJ, Wenke J, Hsu JR. Does a longer delay in fixation of talus fractures cause osteonecrosis? J Surg Orthop Adv. 2011;20(1):34–7.PubMedGoogle Scholar
  19. 19.
    Mayo KA. Fractures of the talus: principles of management and techniques of treatment. Tech Orthop. 1987;2:42.CrossRefGoogle Scholar
  20. 20.
    Vallier HA, Nork SE, Benirschke SK, Sangeorzan BJ. Surgical treatment of talar body fractures. J Bone Joint Surg Am. 2004;86-A(Suppl 1 (Pt 2)):180–92.CrossRefGoogle Scholar
  21. 21.
    Elgafy H, Ebraheim NA, Tile M, Stephen D, Kase J. Fractures of the talus: experience of two level 1 trauma centers. Foot Ankle Int. 2000;21(12):1023–9.CrossRefGoogle Scholar
  22. 22.
    Ziran BH, Abidi NA, Scheel MJ. Medial malleolar osteotomy for exposure of complex talar body fractures. J Orthop Trauma. 2001;15(7):513–8.CrossRefGoogle Scholar
  23. 23.
    Gonzalez A, Stern R, Assal M. Reduction of irreducible Hawkins III talar neck fracture by means of a medial malleolar osteotomy: a report of three cases with a 4-year mean follow-up. J Orthop Trauma. 2011;25(5):e47–50.CrossRefGoogle Scholar
  24. 24.
    Thordarson DB. Talar body fractures. Orthop Clin North Am. 2001;32(1):65–77, viii.CrossRefGoogle Scholar
  25. 25.
    Thordarson DB, Triffon MJ, Terk MR. Magnetic resonance imaging to detect avascular necrosis after open reduction and internal fixation of talar neck fractures. Foot Ankle Int. 1996;17(12):742–7.CrossRefGoogle Scholar
  26. 26.
    Saltzman CL, Marsh JL, Tearse DS. Treatment of displaced talus fractures: an arthroscopically assisted approach. Foot Ankle Int. 1994;15(11):630–3.CrossRefGoogle Scholar
  27. 27.
    Jorgensen NB, Lutz M. Arthroscopic treatment of talar body fractures. Arthrosc Tech. 2014;3(2):e271–4.CrossRefGoogle Scholar
  28. 28.
    Ptaszek AJ. Immediate tibiocalcaneal arthrodesis with interposition fibular autograft for salvage after talus fracture: a case report. J Orthop Trauma. 1999;13(8):589–92.CrossRefGoogle Scholar
  29. 29.
    Hawkins LG. Fractures of the neck of the talus. J Bone Joint Surg Am. 1970;52(5):991–1002.CrossRefGoogle Scholar
  30. 30.
    Marsh JL, Saltzman CL, Iverson M, Shapiro DS. Major open injuries of the talus. J Orthop Trauma. 1995;9(5):371–6.CrossRefGoogle Scholar
  31. 31.
    Grob D, Simpson LA, Weber BG, Bray T. Operative treatment of displaced talus fractures. Clin Orthop Relat Res. 1985;199:88–96.Google Scholar
  32. 32.
    Turchin DC, Schemitsch EH, McKee MD, Waddell JP. Do foot injuries significantly affect the functional outcome of multiply injured patients? J Orthop Trauma. 1999;13(1):1–4.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Orthopaedic Surgery, University of MinnesotaMinneapolisUSA
  2. 2.Department of Orthopaedic Surgery, Case Western Reserve UniversityClevelandUSA

Personalised recommendations