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Current Reviews in Musculoskeletal Medicine

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01-09-2018 | Foot and Ankle Trauma (G Moloney, section editor)

Current Concepts in Talar Neck Fracture Management

Authors: Colin Whitaker, Blake Turvey, Emmanuel M. Illical

Published in: Current Reviews in Musculoskeletal Medicine | Issue 3/2018

Abstract

Purpose of the review

Talar neck fractures are a rare but potentially devastating injury, which require a comprehensive understanding of the unique osteology, vasculature, and surrounding anatomy to recognize pathology and treat correctly. The purpose of this article is to describe both classic and current literature to better understand the evolution of talar neck fracture management.

Recent findings

Urgent reduction of displaced fractures and dislocations remains the standard of care to protect the soft tissue envelope and neurovascular structures. Delayed definitive fixation has proven to be safe. CT is the imaging modality of choice to fully identify the fracture pattern and associated injuries. Anatomic reduction and restoration of the peritalar articular surfaces are the pillars of talar neck fracture treatment. Dual incision approach with plate and screw fixation has become the modern surgical strategy of choice to accomplish these goals. Although complications such as osteonecrosis (ON) and posttraumatic arthritis (PTA) can still occur at high rates, treatment should be dictated by patient symptoms.

Summary

Talar neck fractures pose treatment challenges with both initial injury and potential sequelae. Future research will determine whether modern treatment algorithms will decrease complication rate and improve patient outcome.

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Title: Current Concepts in Talar Neck Fracture Management
Authors: Colin Whitaker
Blake Turvey
Emmanuel M. Illical
Publication date: 01-09-2018
Publisher: Springer US
Published in: Current Reviews in Musculoskeletal Medicine / Issue 3/2018
Electronic ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-018-9509-9

At a glance: The STEP trials

Springer Medicine

Current Concepts in Talar Neck Fracture Management

Abstract

Purpose of the review

Recent findings

Summary

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose of the review

Recent findings

Summary

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