Intra-articular fractures of the talus remain a problem because of the difficulty in achieving and maintaining anatomic reduction, and because of the risk of degenerative arthritis of the hindfoot if such reduction is not achieved. We report our experience with three cases in which intra-articular talar fractures were repaired by use of the Herbert bone screw. In addition, we discuss the biomechanical features of the Herbert bone screw which make it particularly well suited for intra-articular fractures of the talus.
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References
1.
AlexanderA.H.LichtmanD.M.: Surgical treatment of trans-chondral talar-dome fractures (osteochondritis dissecans). J. Bone Joint Surg., 62A(4):646–652, 1980.
2.
BunkerT.D.NewmanJ.H.: The Herbert differential pitch bone screw in displaced radial head fractures. Injury, 16: 621–624, 1985.
3.
CanaleS.T.BeldingR.H.: Osteochondral lesions of the talus. J. Bone Joint Surg., 62-A(1):97–102, 1980.
4.
CehS.E.: Use of the Herbert scaphoid bone screw system in podiatric surgery. J. Am. Podiatric Med. Assoc., 75(6):293–296, 1985.
5.
DimonJ.H.: Isolated displaced fracture of the posterior facet of the talus. J. Bone Joint Surg., 43A: 275–281, 1961.
6.
FaithfullD.K.HerbertT.J.: Small joint fusions of the hand using the Herbert bone screw. J. Hand Surg., 9B(2): 167–168, 1984.
7.
HawkinsL.G.: Fracture of the lateral process of the talus: a review of thirteen cases. J. Bone Joint Surg., 47A(6):1170–1175, 1965.
8.
HerbertT.J.: Use of the Herbert bone screw in surgery of the wrist. Clinic Orthop., 202: 79–92, 1986.
9.
HerbertT.J.: Management of the fractured scaphoid using a new bone screw. J. Bone Joint Surg., 66B(1):114–123, 1984.
10.
HughesA.W.: Bennett's fractures fixed using the Herbert scaphoid screw. J. Royal Coll. Surg. (Edinburgh), 30(4):231–233, 1985.
11.
LangeR.H.EngberW.D.ClancyW.G.: Expanding applications for the Herbert scaphoid screw. Orthopaedics, 9(10):1393–1397, 1986.
12.
MukherjeeS.K.PringleR.M.BasterA.D.: Fracture of the lateral process of the talus: a report of thirteen cases. J. Bone Joint Surg., 56B(2):263–273, 1974.
13.
MukherjeeS.K.YoungA.B.: Dome fracture of the talus: a report of ten cases. J. Bone Joint Surg., 55B(2):319–326, 1973.
14.
NisbetN.W.: Dome fracture of the talus. J. Bone Joint Surg., 36B(2):244–246, 1954.
15.
PolanskyE.J.KingM.J.BowiusT.H.: The Herbert bone screw system: a new method of interfragmentary compression for first metatarsal osteotomies. J. Foot Surg., 24(5):318–322, 1985.
16.
RosenbergN.J.: Fractures of the talar dome. J. Bone Joint Surg., 47A(6):1279, 1965.
17.
ShawJ.A.: A biomechanical comparison of scaphoid screws. J. Hand Surg., 12-A(3):1987.
18.
SimpsonL.A.RichardsR.R.: The fixation of capitellar fractures with Herbert screws. Techniques Orthop., 1(11):51–53, 1986.
19.
SneppenO.ChristensenS.B.KrogsheLorentzenJ.: Fracture of the body of the talus. Acta Orthop Scand., 48: 317–324, 1977.
20.
WombwellJ.H.NunleyJ.A.: Compressive fixation of osteochondritis dissecans fragments with Herbert screws. J. Ortho. Trauma, 1(1):74–77, 1987.
21.
YvarsM.F.: Osteochondral fractures of the dome of the talus. Clinic Orthop., 114: 185–191, 1976.
