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Year : 2008  |  Volume : 54  |  Issue : 2  |  Page : 140-143

Prevention of avascular necrosis in displaced talar neck fractures by hyperbaric oxygenation therapy: A dual case report

1 Department of Orthopedics, Meir University Hospital, Sapir Medical Center, Kfar Saba, Israel
2 Department of Orthopedics, Meir University Hospital, Sapir Medical Center, Kfar Saba; Ribstein Center for Research and Sports Medicine Sciences, Wingate Institute, Israel
3 Rambam Hyperbaric Unit, Elisha Hospital, Haifa, Israel

Correspondence Address:
O Mei-Dan
Department of Orthopedics, Meir University Hospital, Sapir Medical Center, Kfar Saba
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0022-3859.40782

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Talar neck fractures are a rare injury that account for less then 2% of all foot fractures. Displaced fractures are associated with an exceedingly high rate of avascular necrosis (AVN). The incidence of AVN following Hawkins Type 3 fractures of the talar neck may approach 100%, particularly if diagnosis and reduction are delayed. Severe cases may present as pain and disability of the ankle and the subtalar joints due to a talar dome collapse, resulting in degenerative changes that usually require hind foot arthrodesis. We present two cases of traumatic displaced talar neck fractures which were treated surgically more than 2 weeks following injury due to a delay in diagnosis. Both patients underwent hyperbaric oxygen therapy (HBOT) after the operation and neither resulted in AVN of the talus in a three-year follow-up. We suggest that this favorable result may be due to the beneficial effects of HBOT.


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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow