Fracturas de AstrágaloEvaluación Clínico-Quirúrgica

  1. A.J. PEREZ PEREZ 1
  2. J.C. SANCHEZ BARBERO 1
  3. J.L. CEBRIAN PARRA 1
  4. A. GARCIA LOPEZ 1
  5. J.A. DE PEDRO MORO 1
  6. L. LOPEZ-DURAN 1
  1. 1 Hospital Universitario San Carlos. Madrid
Journal:
Revista española de cirugía osteoarticular

ISSN: 0304-5056

Year of publication: 1991

Volume: 26

Issue: 151

Pages: 13-18

Type: Article

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Abstract

Areview of 13 patients diagnosed of Talus fracture has been colected in our service of trauma emergency. All of them have been managed by surgical methods and clinical and radiologically followed up. Satisfactory results wer e obtained in 46% of the cases (23%, excellents and 23%, good results). The rest wer e regular (38%) and bad (16%). Avascular necrosis was observed in 3 of the 13 cases, discussing the origin of this serious complication. The most frequent types of fracture were type III (38%) ant type II (31%) following Weber's classification. The postsurgical articular congruency of the fractured talus and the delayed time on the surgery which must be an emergency, seem to be factors to conside r in the later evolution of the "aviators astragalus". The value of Hawkins sign is also discussed.

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