Internal fixation of a complex fracture of the Talus using a dual-incision extensile approach – A case report with a review of classifications

Abstract

Case: A 29-year old male patient sustained an isolated fracture of the left talus in a fall down a staircase. This was a displaced, complex comminuted fracture that affected the talar neck and body. The fracture fragment was subluxed at the tibiotalar joint, but not at the subtalar or talonavicular joints. The patient underwent open reduction internal fixation (ORIF) of the talus via a dual-incision extensile approach, with excellent functional outcome at the end of 18 months. Conclusion: Internal fixation of a complex talar neck-and-body fracture could be safely performed via a dual-incision extensile approach with good results.

Keywords

• Talus fracture
• Dual-incision
• Extensile apaproach
• Avascular necrosis of the talus
• Classification of talar fractures