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Original Research
Talar Neck Fractures Treated With Closed Reduction and Percutaneous Screw Fixation: A Case Series
Am J Orthop. 2011 February;40(2):72-77
Author and Disclosure Information
Michael L. Fernandez, MD, Allison M. Wade, MD, Michael Dabbah, MD, and Paul J. Juliano, MD
Dr. Fernandez is former Resident, Foot and Ankle Department, Department of Orthopaedics and Rehabilitation, Penn State Milton S. Hershey Medical Center, Pennsylvania State University College of Medicine, Hershey, Pennsylvania.
Dr. Fernandez currently is in private practice at the Orthopaedic Institute of Harrisburg, Harrisburg, Pennsylvania.
Dr. Wade is Fellow, Foot and Ankle Department, Department of Orthopaedics and Rehabilitation, Penn State Milton S. Hershey Medical Center, Pennsylvania State University College of Medicine, Hershey, Pennsylvania.
Dr. Dabbah is in private practice at Orthopaedics Associates of Frederick, Frederick, Maryland.
Dr. Juliano is Professor, Vice Chairman, Residency Director, and Chief, Foot and Ankle Division, and Foot and Ankle Fellowship Director, Department of Orthopaedics and Rehabilitation, Penn State Milton S. Hershey Medical Center, Pennsylvania State University College of Medicine, Hershey, Pennsylvania.
Talus fractures are relatively rare injuries, accounting for approximately 3% of all foot fractures. Fractures of the talar neck account for almost 50% of all talus fractures. Diagnosis and treatment of these fractures play an important role in patients’ outcomes. Treatment of talar neck fractures has slowly evolved from closed treatment to open reduction and internal fixation. Treatment of type I and type II talar neck fractures is debated in the orthopedic community. Choosing which treatment to perform depends on injury severity, associated injuries, and surgeon experience and preference.
In this article, we report on our retrospective review of all talar neck fractures treated with closed reduction and percutaneous fixation between 1996 and 2001 at the Pennsylvania State University Milton S. Hershey Medical Center.