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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):177-88
Talus fractures. Treatment and surgical approach
Del Din R., Castoldi F., Marmotti A., Bardelli A.
Talus fractures are always a challenge for the surgeon, even if they are relatively rare. A good classification of the fracture and a careful pre-operative planning are the most important points to reduce complications like avascular necrosis, defects of healing, posttraumatic arthritis, and to achieve an anatomical reduction and a good internal fixation. There are a lot of surgical approaches, all with their advantages and disadvantages; four are the most important: anteromedial, anterolateral, posteromedial, posterolateral. The choice depends on the fracture's characteristics and on the surgeon's experience. There are talus fractures of the head, the neck and the body, and there is a particular treatment (surgical or not surgical) for each of them. The purpose of this study is to describe the most important surgical approaches and the treatments of each of these ''difficult'' fractures.