Management of 3 month old neglected talus neck fracture: A case report and review of literature
Background: Talus fractures are extremely uncommon, accounting for approximately 1 % of foot and ankle fractures. The talar neck fracture has a high probability of damaging the anastomotic ring, which would interrupt blood circulation to talar body and cause serious issues with fracture healing and...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-02-01
|
| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644023000122 |
| _version_ | 1811168403233177600 |
|---|---|
| author | Andriessanto Ceelvin Lengkong Dave Kennedy Ryan Alvin Senduk Muhammad Andry Usman |
| author_facet | Andriessanto Ceelvin Lengkong Dave Kennedy Ryan Alvin Senduk Muhammad Andry Usman |
| author_sort | Andriessanto Ceelvin Lengkong |
| collection | DOAJ |
| description | Background: Talus fractures are extremely uncommon, accounting for approximately 1 % of foot and ankle fractures. The talar neck fracture has a high probability of damaging the anastomotic ring, which would interrupt blood circulation to talar body and cause serious issues with fracture healing and integrity. Due to insufficient radiological and clinical examination, approximately 39 % of midfoot and ankle fractures could be undiagnosed after initial evaluation. Talus fractures account for about half of these missed fractures. Anatomic reduction and advanced fixation methods can be performed in the management of neglected talus neck fracture for the purpose of improving functional outcome. Case report: A 30-year-old male patient presented with swelling and pain on the right foot while walking for three months. He had previously fallen about two meters from stairs three months back. Instead of going to the hospital, he received conventional massage therapy. Three months later, he came to us complaining of chronic, dull aching, swelling, and continuous pain when walking and standing. After radiology evaluation, the patient was diagnosed with neglected nonunion type III Hawkins fracture of the neck talus and managed by double incision approach, Iliac crest cancellous bone graft, open reduction and internal fixation (ORIF) with cannulated screw. He was able to return to full weight bearing and his previous activity without experiencing any pain after 14 months. Conclusion: Open reduction and internal fixation (ORIF) with Iliac crest cancellous bone graft is a reliable methods for neglected non-union type III Hawkins fracture of neck talus with great functional outcomes after 14 months of follow up. |
| first_indexed | 2024-04-10T16:26:48Z |
| format | Article |
| id | doaj.art-56a259988b6646cf922789d8e2670703 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-04-10T16:26:48Z |
| publishDate | 2023-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-56a259988b6646cf922789d8e26707032023-02-09T04:14:18ZengElsevierTrauma Case Reports2352-64402023-02-0143100764Management of 3 month old neglected talus neck fracture: A case report and review of literatureAndriessanto Ceelvin Lengkong0Dave Kennedy1Ryan Alvin Senduk2Muhammad Andry Usman3Department of Orthopaedics and Traumatology, Sam Ratulangi University, Manado, IndonesiaDepartment of Orthopaedic and Traumatology Department, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia; Corresponding author at: Jl. Perintis Kemerdekaan Km.11, Tamalanrea Jaya, Tamalanrea, Makassar, Sulawesi Selatan, Indonesia.Department of Orthopaedics and Traumatology, Sam Ratulangi University, Manado, IndonesiaDepartment of Orthopaedic and Traumatology Department, Faculty of Medicine, Hasanuddin University, Makassar, IndonesiaBackground: Talus fractures are extremely uncommon, accounting for approximately 1 % of foot and ankle fractures. The talar neck fracture has a high probability of damaging the anastomotic ring, which would interrupt blood circulation to talar body and cause serious issues with fracture healing and integrity. Due to insufficient radiological and clinical examination, approximately 39 % of midfoot and ankle fractures could be undiagnosed after initial evaluation. Talus fractures account for about half of these missed fractures. Anatomic reduction and advanced fixation methods can be performed in the management of neglected talus neck fracture for the purpose of improving functional outcome. Case report: A 30-year-old male patient presented with swelling and pain on the right foot while walking for three months. He had previously fallen about two meters from stairs three months back. Instead of going to the hospital, he received conventional massage therapy. Three months later, he came to us complaining of chronic, dull aching, swelling, and continuous pain when walking and standing. After radiology evaluation, the patient was diagnosed with neglected nonunion type III Hawkins fracture of the neck talus and managed by double incision approach, Iliac crest cancellous bone graft, open reduction and internal fixation (ORIF) with cannulated screw. He was able to return to full weight bearing and his previous activity without experiencing any pain after 14 months. Conclusion: Open reduction and internal fixation (ORIF) with Iliac crest cancellous bone graft is a reliable methods for neglected non-union type III Hawkins fracture of neck talus with great functional outcomes after 14 months of follow up.http://www.sciencedirect.com/science/article/pii/S2352644023000122Talar neck fractureInternal fixationBone graftNon-union talus fracture |
| spellingShingle | Andriessanto Ceelvin Lengkong Dave Kennedy Ryan Alvin Senduk Muhammad Andry Usman Management of 3 month old neglected talus neck fracture: A case report and review of literature Trauma Case Reports Talar neck fracture Internal fixation Bone graft Non-union talus fracture |
| title | Management of 3 month old neglected talus neck fracture: A case report and review of literature |
| title_full | Management of 3 month old neglected talus neck fracture: A case report and review of literature |
| title_fullStr | Management of 3 month old neglected talus neck fracture: A case report and review of literature |
| title_full_unstemmed | Management of 3 month old neglected talus neck fracture: A case report and review of literature |
| title_short | Management of 3 month old neglected talus neck fracture: A case report and review of literature |
| title_sort | management of 3 month old neglected talus neck fracture a case report and review of literature |
| topic | Talar neck fracture Internal fixation Bone graft Non-union talus fracture |
| url | http://www.sciencedirect.com/science/article/pii/S2352644023000122 |
| work_keys_str_mv | AT andriessantoceelvinlengkong managementof3montholdneglectedtalusneckfractureacasereportandreviewofliterature AT davekennedy managementof3montholdneglectedtalusneckfractureacasereportandreviewofliterature AT ryanalvinsenduk managementof3montholdneglectedtalusneckfractureacasereportandreviewofliterature AT muhammadandryusman managementof3montholdneglectedtalusneckfractureacasereportandreviewofliterature |