Fractures of neck of talus

Abstract

This is a prospective case series of 55 patients with 57 vertical fractures of the neck of the talus that underwent treatment by various methods. Forty-three of the patients were followed-up for more than 1 year after injury. A new fracture classifi cation is proposed based on initial radiographic appearance into three groups depending on the presence and location of dislocation. The overall incidence of avascular necrosis (AVN) was 58 %, with the majority occurring in severely displaced fractures. Generally good to excellent clinical results followed the treatment of vertical fractures of the neck of talus not complicated by AVN. Conversely, in those fractures associated with AVN, a high percentage of fair or poor results occurred.