Abstract：Objective To explore the clinical effect and value of internal malleolous osteotomy in the treatment of complex talar neck fracture.Methods From October 2010 to October 2015,50 patients with talar neck fracture admitted into our hospital was retrospectively analyzed.By cannulated screw for internal fixation via internal malleolous osteotomy and traditional surgical approach,they were evenly divided into experimental group and control group in random.Based on operation time,postoperative complications,and wound healing time,the therapeutic effect was compared.Results By different methods in the two groups,according to Hawkins efficacy evaluation standard,the number of excellent,good,acceptable and poor cases was 23 cases(92%),1 case(4%),1 case(4%),and 0 case(0%)in the experimental group,and the excellent and good rate was 96%.In the control group,the number was 18 cases(72%),3 cases(12%),3 cases(12%), and 1 case(4%)respectively,and the excellent and good rate was 84%.The operation time in the experimental group was(80±5)min,greatly shorten than that in the control group of(110±10)min with a statistical difference(P<0.05). Conclusion In the treatment of talar neck fracture,internal malleolous osteotomy is simple in performance with advantages of good fixation,small wound,and few adverse reactions.It can decrease the incidence of avascular necrosis in talus and is better than by traditional surgical approach,which is worthy of clinical promotion.
Hawkins LG.Fractures of the neck of the talus[J].J Bone Joint Surg Am，1970，52(5)：991-1002.
[5]
Gonzalez A，Stern R，Assal M，Reduction of irreducible Hawkins 3 talar neck fracture by means of a medial malleolar osteotomy：a report of three cases with a 4-year mean follow up[J].J Orthop Trauma，2011，25(5)：47-50.
[9]
Lindvall E，Haidukewych G，Dipasuale T，et al.Open reduction and stable fixation of isolated，displaced talar neck and body fractures[J].J Bone Joint Surg Am，2004，86(10)：2229-2234.
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