Three cases of talus fractures.

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Three cases of talus fractures are reported.Case 1. A 20-year-old-male suffured a fracture-dislocation of the neck and body of his right talus (Type 3). Dislocation was reduced, fracture was fixed with bone screw and staple, and weight bearing was not allowed until 9 months after operation. The results were excellent.Case 2. A 31-year-old-female suffered a fracture of the neck of her right talus (Type 1). Fracture was fixed with two staples, and weight bearing was not allowed until 7.5 months after operation. The results were good.Case 3. A 24-year-old-female suffered a fracture-subluxation of the neck and body of her right talus (Type 2). Fracture was fixed with a staple, and weight bearing was allowed 4.5 months after operation. Osteoarthritic change was seen roentogenographically. The results were good.So we conclude that sufficient reduction, stable fixation and no weight bearing are the principle points of treatment to prevent avascular necrosis and osteoarthritis of the ankle joint.
西日本整形・災害外科学会の論文