Case Report

SURGICAL TREATMENT IN HAWKINS I TYPE TALUS NECK FRACTURES: A CASE REPORT

P. Rao1, J. Troiano1, A. Pantalone2, D. Bruni2 ORCID, R. Buda1 ORCID

1 Clinic of Orthopaedics and Traumatology, Department of Medicine and Aging Sciences, G. d'Annunzio University of Chieti-Pescara, Chieti, Italy
2 Department of Medicine and Science of Aging, Clinic of Orthopaedics and Traumatology, University G. d 'Annunzio, Chieti-Pescara, Chieti, Italy

Correspondence to:

Roberto Buda, MD
Clinic of Orthopaedics and Traumatology,
Department of Medicine and Aging Sciences,
“G. d ’Annunzio” University of Chieti-Pescara,
Chieti, Italy
e-mail: roberto.buda@unich.it

Journal of Orthopedics 2023 September-December; 15(3): 144-147


Received: 6 September 2023 Accepted: 12 October 2023


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Abstract

Talus fractures are a rare occurrence, accounting for about 0.5% of all fractures. These fractures are classified into 4 types, according to Hawkins. Hawkins type 1 fractures are compound fractures; due to their low incidence, it is difficult to evaluate long-term results and prognosis. This kind of fracture could be treated conservatively, but the importance of surgical treatment should not be underestimated. The present article describes a case of Hawkins type I talar neck fracture, early recognized and successfully surgically treated by percutaneous screws. At a 12-month followup, the patient reported returning to full-time employment, resuming all activities without pain or functional limitation. The decision-making in Hawkins type I talus neck fractures is not well defined because of the rarity of the incidence and the low number of cases in the literature. This case report supports the success and good outcomes of a prompt surgical approach in Hawkins Type-1 fractures.

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