[Injury analysis of pediatric talus fractures].

Abstract

Fractures of the talus are very rare in children. The present paper analyzes the treatment and long-term follow-up of 11 talus fractures in children over a period of 20 years (1974-1994). There were 5 fractures of the talus neck, 3 flake fractures, 1 depressed fracture of the talus head, and 2 lesions at the trochlea of the talus. Two fractures not previously described in the literature are presented. Treatment was conservative in all nondisplaced fractures. The displaced lesions were treated by compression screws and K-wire fixation of articular surface fractures. In 9 of the 11 fractures healing with good functional results, though arthrosis of the talocalcanean joint was present in 6 and partial necrosis of the talus, in 2. There is no difference between children and adults in the diagnosis and selection for operative treatment.