Talar neck fracture involving medial column

fixation with locking tarsal plate

Abstract

A 23-year-old female was injured in a car accident. On arrival at first hospital, a displaced talar  neck fracture has not been diagnosed, after 3 weeks when she was evaluated by our staff the displaced comminuted talar neck fracture was was identified. Fracture were fixed surgically. Leg was protected with a below-knee plaster split immobilization and non-weight-bearing for 6 weeks. After that period, the patient initiated a rehabilitation protocol with active and passive motion exercises. Fractures and fracture dislocations at the mid-tarsal joint have an important impact on the mglobal foot function because malunion can result in post-traumatic arthritis and three-dimensional deformities of the foot. The development of an abduction, pronation and flat foot deformity. A talar neck fracture, if unreduced, can result in medial column displacement and rotational dislocation of the talar head, leading to a subluxation in the talonavicular joint with severe restriction of foot function. With surgical treatment, after 3 weeks, open reduction and internal fixation, our patient recovered from the accident without having symptoms of pain, avascular necrosis, postoperative foot deformities or neurovascular deficits. The displaced comminuted talar neck fracture usually requires correct diagnoses and early treatment with anatomic reduction and internal stable fixation to prevent severe post-traumatic deformities and arthritis.