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Many discussions persist concerning the preferred treatment approach for the management of talus fractures.
For the long-term operative treatment outcomes of talus
fractures, restoration of articular congruence is an essential step. The study
also recommended that the talus fractures should be treated after the
soft-tissues get recovered.
Many discussions persist concerning the preferred treatment
approach for the management of talus fractures. The primary purpose of this
study was to assess the long-term consequences after surgical management of
talus fractures. Secondarily, identification of factors that influenced the
results and associated approaches to improve such outcomes.
The study comprised of 84 patients with a mean follow-up of
9.1 years. The general health status, functional outcomes, and return to daily
activities were estimated using the Short Form-36 Health Survey, Foot Function
Index-5pt, and a numeric rating scale. Moreover, a correlation analysis within
the outcomes and 14 radiologic, clinical, and demographic variables were also
done.
The moderate mean disability, numeric rating scale and Foot
Function Index pain scores found to be of 28.7, 3.2 and 30.2, respectively.
Twenty-Seven patients out of 66 exhibited no return to their regular
activities. Authors recorded good mental, but low physical, Short Form-36
component summary scores of 48.3 and 42.7, respectively. The complication rate
noticed to be of 56%. The lower functional outcome showed a significant
correlation with talus body fractures, osteoarthritis, and articular
incongruence and better results were obtained with delayed surgery following
trauma.
Talus fractures show a considerable long-term influence on
hind foot and ankle function along with physical health. The type of fracture,
quality of fracture reduction and postoperative osteoarthritis decides the
success of operative treatment. It is advisable that efforts should be made to
restore articular congruence in order to improve the outcome. Consequently, the
study suggests examining the quality of the decline postoperatively on CT.
Moreover, talus fractures should not be viewed as operative difficulties, but
instead managed after the recovery of the soft-tissues.
Foot Ankle Int.
Long-Term Outcome After Operative Management of Talus Fractures.
Wouter Vints et al.
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