Clinical Analysis of Surgical Treatment of 21 Cases with Talus Neck Fracture

Objective To study the surgical treatment of talus neck fracture and prevention of complications.Methods Twenty-one cases of talus neck fracture were retrospectively analyzed between 2010 and 2012.The operative approaches,internal fixation methods and postoperative treatments were summarized.Results All cases were discharged from hospital on time with out wound infection,disunion and skin complication.The patients received a follow-up from 1 year to 3 years(mean 2 year and one month),and the clinical results were excellent in 6 cases,good in 8 cases,common in 4 cases and poor in 3 cases,according to Hawkins standard.Conclusion Operative treatment should be performed actively when anatomic reduction of talus neck fracture was not achieved.Perfect anatomic reduction of the fracture,solid internal fixation and enough period off weight loading were recommended,which could lessen the probability of complications.