Isolated, displaced, talar body fracture: a case report and literature review

Isolated, displaced, talar body fracture: a case report and literature review

Authors

  • Angelo Mosca Orthopedic Department, University of Milano-Bicocca, Ospedale San Gerardo, 20900 Monza, Italy.
  • Fabio Pessina Orthopedic Department, University of Milano-Bicocca, Ospedale San Gerardo, 20900 Monza, Italy.
  • Paolo Ragni asst rhodense ospedale di Garbagnate Milanese
  • Carlo Cazzaniga asst rhodense ospedale di Garbagnate Milanese
  • Carlo Cardile asst rhodense ospedale di garbagnate

Keywords:

talar, body, fracture, displaced, foot.

Abstract

Talar body fractures are uncommon fractures of the foot and its management results to be very hard due to retrograde vascularization and wide articular cartilage coverage of talar surface, which could easily lead to poor functional outcomes, avascular osteonecrosis and early post traumatic arthritis. We describe a case of displaced, vertical, talar body fracture in a 41-year-old patient treated with reduction and fixation by talar anteromedial approach coupled to medial malleolar osteotomy to better expose the fracture. Our literature review has found few studies, in addition with a low level of statistical evidence. We advocate for more studies with a bigger sample and with a design of randomized control trials

References

Saravi B, Lang G, Ruff R, Schmal H, Südkamp N, Ülkümen S, Zwingmann J. Conservative and Surgical Treatment of Talar Fractures: A Systematic Review and Meta-Analysis on Clinical Outcomes and Complications. Int J Environ Res Public Health 2021 Aug 4;18(16):8274. doi: 10.3390/ijerph18168274. PMID: 34444022; PMCID: PMC8393919.

Sundararajan SR, Badurudeen AA, Ramakanth R, Rajasekaran S. Management of Talar Body Fractures. Indian J Orthop 2018 May-Jun;52(3):258-268. doi: 10.4103/ortho.IJOrtho_563_17. PMID: 29887628; PMCID: PMC5961263.

Bykov Y. Fractures of the talus. Clin Podiatr Med Surg 2014 Oct;31(4):509-21. doi: 10.1016/j.cpm.2014.06.004. Epub 2014 Aug 13. PMID: 25281512.

Elgafy H, Ebraheim NA, Tile M, Stephen D, Kase J. Fractures of the talus: experience of two level 1 trauma centers. Foot Ankle Int 2000 Dec;21(12):1023-9. doi: 10.1177/107110070002101208. PMID: 11139032.

Sneppen O, Christensen SB, Krogsoe O, Lorentzen J. Fracture of the body of the talus. Acta Orthop Scand 1977;48(3):317-324. doi:10.3109/17453677708988775.

Sen RK, Tripathy SK, Manoharan SR, Krishnan V, Tamuk T, Jagadeesh V, “Long term surgical treatment outcome of talar body fracture”, Chin J Traumatol 2011;14(5):282-7. PMID: 22118482.

Ebraheim NA, Patil V, Owens C, Kandimalla Y, “Clinical outcome of fractures of the talar body”, Int Orthop 2008 Dec;32(6):773-7. doi: 10.1007/s00264-007-0399-5. Epub 2007 Jun 22. PMID: 17583811; PMCID: PMC2898957.

Patra SK, Swaroop S, Patro BP, Panda S, Panda R, “Talar Body Fracture With Closed Pan-Talar Dislocation”, Cureus 2021 May 31;13(5):e15349. doi: 10.7759/cureus.15349. PMID: 34235026; PMCID: PMC8244578.

Lahrach K, El Kadi K, Marzouki A, Boutayeb F, “Talar body fracture combined with medial malleolar fracture: a case report and literature review”, Pan Afr Med J 2019 Jan 31;32:57. doi: 10.11604/pamj.2019.32.57.6166. PMID: 31223349; PMCID: PMC6560992.

Moger NM, Pragadeeshwaran J, Banerjee S, Meena PK, K V A, Verma A, “Combined Talus Fracture with Medial Malleolar Fracture: A Case report with Review of Literature”, J Orthop Case Rep 2020 Oct;10(7):11-14. doi: 10.13107/jocr.2020.v10.i07.1896. PMID: 33585307; PMCID: PMC7857660.

English CJ, Merriman DJ, Austin CL, Thompson SJ, “Open Reduction and Internal Fixation of a Pediatric Talar Body Fracture using a Medial Malleolar Osteotomy - A Case Report”, J Orthop Case Rep 2021 Oct;11(10):30-32. doi: 10.13107/jocr.2021.v11.i10.2454. PMID: 35415092; PMCID: PMC8930297.

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Published

24-07-2023

How to Cite

1.
Mosca A, Pessina F, Ragni P, Cazzaniga C, Cardile C. Isolated, displaced, talar body fracture: a case report and literature review. Acta Biomed. 2023;94(S1):e2023205. doi:10.23750/abm.v94iS1.14198