Prospective studies investigating predictors for treatment success and/or failure are urgently needed to improve the overall quality of life and function of patients undergoing surgical treatment due to talar fractures.Īnkle fractures ankle injuries osteoarthritis osteonecrosis systematic review talus. ![]() In Hawkins study in 1970 found that 26 of talar neck fractures are associated with medial malleolus fracture, and Canale and Kelly found the incidence to be of 15 of talar neck fractures. Poor outcomes revealed a positive association with fracture severity. Medial malleolus fracture is associated with talar neck fracture in 19-28 of cases 2. Talar fractures are associated with relatively poor postoperative outcomes, high rates of AVN, and posttraumatic osteoarthritis. The present systematic review on clinical outcomes of patients undergoing conservative or surgical treatment for talar fractures reveals a lack of reliable prospective evidence. The mean CMS was 34.3 (range: 19-47), indicating a moderate methodological quality of the studies. Success rates showed an association with fracture severity, and were generally low in complex multi-fragmentary fractures. Talar fractures revealed a 43% posttraumatic osteoarthritis (OA) rate in our meta-analysis. The rate was higher for TN (43%) than TN/TB (25%). The overall complication rate for AVN was 25%. Success rates were 62%, 60%, and 50% for pooled fractures, TN, and TN/TB, respectively. A total of 29 retrospective studies, including 987 fractures with a mean follow-up of 49.9 months, were examined. The quality of the included studies was assessed utilizing the Coleman Methodology Score (CMS). ![]() Additionally, a subgroup analysis was performed for fracture localization (talar neck fractures (TN) and combined talar body/neck fractures (TN/TB)) and severity of the fracture. Complications were defined as avascular bone necrosis (AVN) and posttraumatic osteoarthritis (OA). Hereafter, the success and complication rates were extracted and analyzed in a random effects proportion meta-analysis. ![]() We systematically searched Medline via OVID to find relevant studies with a follow-up of at least six months. The present study sought to summarize the available evidence on clinical outcomes and complications following conservative and surgical treatment of talar fractures. The integrity of the talus is crucial for the physiologic function of the feet.
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