Özet:

Goal: Treatment of talus fractures is quite problematic. This study discussed the treatments of uncommon deplase talus fractures with different surgical approaches. Between July 1998 and September 2002 11 patients were subjected to open reduction and internal fixation for 12 talus breaks. 10 of the patients were male and 1 female, with an average age of 30 (18-50). Eight drops from the high, three were caused by a traffic accident. Five talus neck fractures, six talus body fractures, one had both neck and body fractures. Eight of the cases were operated within the first 24 hours following the trauma. Talus neck broken in 2 cases posteroanterior, in 4 cases anteroposterior fixation was made. Anteromedial approach was preferred in all the talus body fractures. In all cases after the surgery, an immobilization of the algae was applied for 4-8 weeks. The full load was allowed in an average of 14 (12-20) weeks. The patient was observed for an average of 24 (6-51) months. In 7 of the cases there was no pain complaint, while in 3 there was a middle level and in 2 there was a severe level of pain. No problem was observed except for one of the cases. In two patients Sudeck atrophy, in 3 patients subtles, in 2 patients tibiots arthritis developed. It was only seen in an event with AVN. In type II and type III neck fractures, the detection of the front or posteriors, the detection of the joint surface after the reconstruction of the body fractures, and the detection of the Kirschner wire in the early period, satisfactory results are obtained.

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