Talus and ankle fracture, an uncommon lesional association

Systematic bibliographic review of a case

Abstract

Fractures of the talus are uncommon (less than 1% of all fractures). The lesional association due tofracture of talus and neck of foot is even more infrequent. We present a case report of a 22-yearoldmale patient who suffers from a fracture of the talus associated with an open ankle fracture.Objetive: Study this lesional association of talus and ankle fracture from a case report and asystematic review of the literature. A search was made in electronic databases: PubMed, Scopusand Cochrane library, in the last 20 years in humans. Results: Eleven articles were obtained,including a total of 13 patients. The average age was 31 years. 93% were male. The main injurymechanism was axial overload and rotation. All the patients presented astragalus body fractures.The internal malleolus was the most affected 69%. Osteosynthesis was performed in 93% of thepatients. In all cases the support was deferred. The most affected ranges of motion were: dorsiflexionand plantar flexion. The most frequent complications were pain and post-traumatic osteoarthritis.14% presented avascular necrosis. The average follow-up was 3.2 years. Conclusions: Thisinfrequent lesion association affects mainly young patients of active working age. Despite surgicaltreatment, functional results are largely determined by pain and post-traumatic osteoarthritis, notbeing frequent vascular necrosis of the talus. A greater level of evidence is necessary to make strongrecommendations.