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Sagittal and Coronal Plane Fracture of Talar Body, An Unusual Combination with Medial Malleolus Fracture: A Case Report

Journal of Clinical Orthopaedics | Vol 6 | Issue 2 |  Jul-Dec 2021 | page: 52-55 | Pankaj Kumar Singh, Surendra Kumar Shukla, Satish Chandra Goel, Sachin Yashwant Kale, Rohit Mahesh Sane


Author: Pankaj Kumar Singh [1], Surendra Kumar Shukla [2], Satish Chandra Goel [1], Sachin
Yashwant Kale [3], Rohit Mahesh Sane [3]

[1] Department of Orthopaedics, Heritage Institute of Medical Sciences, Varanasi, Uttar Pradesh, India.

[2] Department of Orthopaedics, K.J. Somaiya Medical College, Sion, Mumbai, Maharashtra, India.

[3] Department of Orthopaedics, D.Y. Patil University School of Medicine, Nerul, Navi-Mumbai, Maharashtra, India.

Address of Correspondence
Dr. Rohit Mahesh Sane,
Department of Orthopaedics, D.Y. Patil University School of Medicine, Nerul, Navi-Mumbai, Maharashtra, India.
E-mail: dr.sanerohit@gmail.com


Abstract

Introduction: Fractures of the talus are relatively uncommon injuries with majority of them involving the neck region. Talar body fracture in sagittal plane in combination with medial malleolus fracture is very rare with few cases being reported in the literature earlier.

Aims and Objectives: To discuss such an unusual combination in an adolescent, which was treated with open reduction and internal fixation with screws for both talus and medial malleolus.

Materials and Methods: A 18-year-old boy with medial malleolus and sagittal plane talus fracture was treated with open reduction and internal fixation.

Conclusion: Talar body fractures in the sagittal plane and its combination with medial malleolus fracture are challenging due to its rarity and associated high degree of complications. Surgery should be planned at appropriate time considering the status of surrounding soft tissues and swelling. Proper anatomic reduction and rigid fixation with good surgical technique followed by cast immobilization and non-weight bearing for longer periods (at least 3 months or till radiological union) is the key to a good clinical outcome.

Keywords: Fracture, Talar body, Sagittal plane, Medial malleolus, Internal fixation


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How to Cite this article: Singh PK, Shukla SK, Goel SC, Kale SY, Sane RM. Sagittal and Coronal Plane Fracture of Talar Body, An Unusual Combination with Medial Malleolus Fracture: A Case Report.. Journal of Clinical Orthopaedics Jul-Dec 2021;6(2):52-55.

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