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Talar fractures

Bibbo, Christopher

Current Orthopaedic Practice: May 2008 - Volume 19 - Issue 3 - p 234–241
doi: 10.1097/BCO.0b013e3282f379bf
SPECIAL FOCUS: Ankle and Foot
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Purpose of review Fractures of the talus continue to generate controversy with regard to the timing and expected outcomes. The primary purpose of this review is to provide a summary of the relatively recent outcomes data on talar fractures and provide guidelines for the management of talar fractures.

Recent findings The current literature reflects the fact that outcomes for talar fractures are hampered by the development of osteonecrosis and arthrosis, which are worsened in open injuries and multiple fractures of the talus. The absolute necessity for immediate (emergent) fixation has come into question.

Summary The implications of recent data may assist surgeons in management strategies in both the acute setting, as well as in the reconstructive phase after talar fractures.

Foot and Ankle Section, Department of Orthopedics, Marshfield Clinic, Marshfield, Wisconsin, USA

Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA

Correspondence to Christopher Bibbo, Department of Orthopedics, Marshfield Clinic, 1000 North Oak Avenue, Marshfield, WI 54449, USA. Fax: +1 715 387 5754; e-mail: bibbo.christopher@marshfieldclinic.org

© 2008 Lippincott Williams & Wilkins, Inc.