Report On – Case Of Closed Talar Neck Fracture With Triple Dislocation

Abstract

Introduction: Talar Neck Fractures Are High Energy Injuries To The Foot That Are Associated With A High Incidence Of Talus Avascular Necrosis.The Vascular Supply Of Talus And Devoid Muscle Attachments Predispose It To  Avascular Necrosis.The Injury Is Usually Associated With Triple Dislocation Of Talus. In This Case Report We’ll Be Seeing About Neck Of Talus Fracture With Dislocation And It’s Management.

Materials & Methods: 14 Year Old Kid Came With History Of Fall From Height And Presented With Fracture Neck Of Talus And Medial Malleolus.X-Ray And Ct Were Taken Showing Hawkins Type Iv Fracture (Subtalar Tibiotalar And Talonavicular Dislocation ).Patient Was Taken Up For Open Reduction (After Failed Attempt On Closed Reduction) And Internal Fixation With Cannulated Cancellous Screw (Talus) And K Wire Fixation For Medial Malleolus.

Conclusion: Delay In Treatment Or Failure In Reduction Of Fracture Dislocation Lead To Avascular Necrosis Or Secondary Osteoarthritis. Usually Type Iii And Iv Fractures Are At Maximum Risk Of Going For Osteonecrosis. In This Patient Following Orif, Patient Was Put On Below Knee Cast And Was Followed Up After 2 Months.

Where X-Ray Showed Subchondral Lucency (Hawkins Sign) Which Signifies Revascularization Thus Indicating Earlier Reduction And Fixation Can Reduce The Incidence Of Avascular Necrosis.