Talar Skull Fracture Case Study

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CLOSED REDUCTION AND PERCUTANEOUS SCREW FIXATION OF TALAR NECK FRACTURE – A CASE REPORT Student Name: Bong Chin Pei Matric No: MGI140016 Posting: Trauma INTRODUCTION: Fracture talar neck is rather rare, it usually due to high-energy trauma and account for 1% of all fractures. Urgent reduction and fixation is mandatory due to it tenuous blood supply which often disrupted by fracture displacement. These fractures are usually associated with life threatening injuries and concomitant skeletal fractures, soft tissues often compromised. The associated injuries may result in conventional open reduction and internal fixation impossible to be done in urgent basis and increasing the risk of AVN and non-union. Percutaneous fracture reduction and fixation can overcome this problem, and decrease complications associated with conventional open reduction and internal fixation (1). CASE REPORT: A 16 year-old gentleman, brought in with reduced consciousness after involved in motor vehicle accident, was immediately intubated in emergency department for airway protection. Primary survey and secondary survey was done, no skeletal deformity detected except abrasion…show more content…
High-energy trauma may futher complicate the treatment, as there is higher chance of fracture displacement or present of comminution, soft tissue injury usually massive. There will be other associated injuries such as polytrauma or polyfracture as well. These will directly influence treatment approach and may increase risk of unsatisfactory outcome. Talar body mainly supply by artery branches entering beneath the talar neck, hence any displacement of talar neck resulting from fracture may compromised the blood supply and lead to talar AVN. Moreover, lacking of soft tissue envelope increases the rate of soft tissue
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