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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
97° CONGRESS OF THE PIEDMONTESE-LIGURIAN-LOMBARD SOCIETY OF ORTHOPEDICS AND TRAUMATOLOGY (SPLLOT) - I (Alba, September 22-23, 2000)
Minerva Ortopedica e Traumatologica 2000 August;51(4):169-72
Fractures of the talus: classification
Daghino W., Ronco S., Vasone L., Battiston B.
The classification of talus fractures is reported according to the literature. It is suggested that it is better to distinguish fractures involving the anatomical continuity versus the isolated process or osteochondrous lesions; the pathogenesis and treatment of the two groups of fractures are analysed. In the first group, the anatomical classification (fractures of the body, neck and head) is not sufficient; Hawkins radiological classification of talar fractures is the most used one; the advantage represented by the prognostic indication given in order to evaluate the most important complications, the evolution in avascular necrosis. Body fractures are a complex group in which partial lesions and osteochondrous fractures are included; Berndt and Harry's classification describes these lesions, providing prognostic and therapeutic indications and prognostic evolution.