In this article, a case of talar neck fracture nonunion is presented. Union was accomplished with an indirect placement of a corticocancellous fibular graft through a posterolateral approach. The advantages and indications for this method of the treatment of talar neck nonunion are discussed, together with a review of the literature.
Get full access to this article
View all access options for this article.
References
1.
. CanaleS.T.: Fractures of the neck of the talus. Orthopedics, 13 (10): 1105–1115, 1990.
2.
. CanaleS.T.KellyF.B.Jr.: Fractures of the neck of the talus. Long-term evaluation of seventy-one cases. J. Bone Joint Surg., 60A (2): 143–156, 1978.
3.
. ColtartW.D.: Aviator's astragalus. J. Bone Joint Surg., 34B (4): 545–566, 1952.
. DunnA.R.JacobsB.CampbellR.D.Jr.: Fractures of the talus. J. Trauma, 6 (4): 443–467, 1966.
6.
. Fabricius HildanusG.: Observatio LXVII (Letter to Dr. Philibertus). Observationum et curationum chirurgicarum centuriae, 1608. In Opera Quae Extant Omnia. Vol. 67, Frankfurt on the Main, 1946, pp. 140.
7.
. GrahamW.T.FaulknerD.M.: Astragalectomy for fractures of the astragalus. Ann. Surg., 89: 435–438, 1929.
. HawkinsL.G.: Fractures of the neck of the talus. J. Bone Joint Surg., 52A (5): 991–1002, 1970.
10.
. KenwrightJ.TaylorR.G.: Major injuries of the talus. J. Bone Joint Surg., 52B (1): 36–48, 1970.
11.
. KleigerB.: Fractures of the talus. J. Bone Joint Surg., 30A (3): 735–744, 1948.
12.
. LahautM.: Fracture du col de l'astragale traitée par autograffe imnediate. Mem. Acad. Chir., 81: 260–270, 1955.
13.
. LemaireR.G.BustinW.: Screw fixation of fractures of the neck of the talus using a posterior approach. J. Trauma, 20 (8): 669–673, 1980.
14.
. LorentzenJ.E.ChristensenS.B.KrogsoeO.SneppenO.: Fractures of the neck of the talus. Acta Orthop. Scand., 48: 115–120, 1977.
15.
. MannR.A.CoughlinM.J.: Surgery of the Foot and Ankle, Vol. 2. 6th Ed., St. Louis, C. V. Mosby, 1993, pp. 1559.
16.
. McKeeverF.M.: Fracture of the neck of the astragalus. Arch. Surg., 46: 720–735, 1943.
17.
. McKeeverF.M.: Treatment of complications of fractures and dislocations of the talus. Clin. Orthop., 30: 45–52, 1963.
18.
. MillerO.L.BakerL.D.: Fracture and fracture-dislocation of the astragalus. South. Med. J., 32 (2): 125–136, 1939.
19.
. MindellE.R.CisekE.E.KartalianG.DziobJ.H.: Late results of injuries to the talus. Analysis of forty cases. J. Bone Joint Surg., 45A (2): 221–245, 1963.
. PantazopoulosTh.GalanosP.VayanosE.MitsouA.Hartofilakidis GarofalidisG.: Fractures of the neck of the talus. Acta Orthop. Scand., 45: 296–306, 1974.
22.
. PennalG.F.: Fractures of the talus. Clin. Orthop., 30: 53–63, 1963.
23.
. PennyJ.N.DavisL.A.: Fractures and fracture-dislocations of the neck of the talus. J. Trauma, 20 (12): 1029–1037, 1980.
24.
. PetersonL.GoldieI.F.IrstamL.: Fracture of the neck of the talus. A clinical study. Acta Orthop. Scand., 48: 696–706, 1977.
25.
. SchrockR.D.JohnsonH.F.WatersC.H.: Fractures and fracture-dislocations of the astragalus. J. Bone Joint Surg., 24 (3): 560–573, 1942.
26.
. SilvaniS.: Injuries to the talus. Clin. Podiatr., 2 (2): 287–310, 1985.
27.
. StealyJ.H.: Fracture of the astragalus. Surg. Gynecol. Obstet., 8: 36–48, 1909.
28.
. SzyszkowitzR.ReschauerR.SegglW.: Eighty-five talus fractures treated by ORIF with five to eight years of follow-up. Study of 69 patients. Clin. Orthop., 199: 97–107, 1985.
