Screw Fixation Techniques for Talar Neck Fractures (Anterior versus Posterior insertion) / 대한족부족관절학회지
Journal of Korean Foot and Ankle Society
;
: 79-83, 2010.
Article
Dans Coréen
| WPRIM
| ID: wpr-162575
ABSTRACT
PURPOSE:
To compare the clinical and radiological results between the anterior and posterior screw fixation for the treatment of talar neck fracture. MATERIALS ANDMETHODS:
Among 30 patients who received surgical treatment for talar neck fracture from 2001 to 2008. Twenty-seven patients with a follow-up period of more than 1 year were divided into two groups. Twelve patients were treated with anterior screw fixation and 15 patients with posterior approaches. We analyzed preoperative, postoperative and follow-up radiographs. Clinical results were evaluated by Hawkins criteria.RESULTS:
The posteriorly inserted screws were placed across the more central portion of the talar neck and perpendicular to the plane of fracture (p<0.05). There were no difference in clinical results, the duration of union, and complications including avascular necrosis between two groups. However, 2 patients complained of pain around the talonavicular joint in the anterior insertion group.CONCLUSION:
Although the clinical results were good irrespective of insertion methods, the posterior approach of screw fixation for talar neck fractures allows for a better mechanical advantage than anterioly placed screws. This may allow early motion with a reduced risk of failure of fixation or of displacement of the fracture.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Talus
/
Études de suivi
/
Déplacement psychologique
/
Imidazoles
/
Articulations
/
Cou
/
Nécrose
/
Composés nitrés
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Humains
langue:
Coréen
Texte intégral:
Journal of Korean Foot and Ankle Society
Année:
2010
Type:
Article
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