A novel method using bone peg fixation for acute osteochondral fracture of the talus: a surgical technique

Arch Orthop Trauma Surg. 2019 Feb;139(2):197-202. doi: 10.1007/s00402-018-3066-y. Epub 2018 Nov 11.

Abstract

Introduction: The osteochondral fracture of the talus is an uncommon condition, therefore, there are controversies for the optimal treatment. We report a novel surgical technique of bone peg fixation for osteochondral fracture of the talus.

Materials and methods: We report two cases that underwent bone peg fixation for the acute osteochondral fractures of talus. Clinical and radiographic evaluations were performed at the last follow-up.

Results: At the last follow-up, mean ROM of ankle joint was 50° (range 45°-55°). Additionally, mean VAS and AOFAS score were 0 and 100 at the last follow-up, respectively. All patients obtained bone union without complication at the last follow-up radiographs.

Conclusions: This case study shows good clinical and radiographic results with autologous bone peg fixation in patients with acute osteochondral fractures of the talus.

Level of evidence: V, expert opinion.

Keywords: Bone pegs; Fixation; Osteochondral fracture; Talus.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Ankle Joint* / diagnostic imaging
  • Ankle Joint* / surgery
  • Bone Transplantation / methods*
  • Fracture Fixation* / instrumentation
  • Fracture Fixation* / methods
  • Fractures, Bone* / diagnosis
  • Fractures, Bone* / pathology
  • Fractures, Bone* / surgery
  • Humans
  • Internal Fixators*
  • Magnetic Resonance Imaging / methods
  • Male
  • Osteochondritis / pathology*
  • Talus* / diagnostic imaging
  • Talus* / injuries
  • Talus* / surgery
  • Tibia / transplantation*
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome
  • Young Adult