Prevention of avascular necrosis in displaced talar neck fractures by hyperbaric oxygenation therapy: A dual case report
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%,...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2008-01-01
|
Series: | Journal of Postgraduate Medicine |
Subjects: | |
Online Access: | http://www.jpgmonline.com/article.asp?issn=0022-3859;year=2008;volume=54;issue=2;spage=140;epage=143;aulast=Mei-Dan |
id |
doaj-22fb84a7ff6a406f8518706617cd0909 |
---|---|
record_format |
Article |
spelling |
doaj-22fb84a7ff6a406f8518706617cd09092020-11-24T22:50:14ZengWolters Kluwer Medknow PublicationsJournal of Postgraduate Medicine0022-38590972-28232008-01-01542140143Prevention of avascular necrosis in displaced talar neck fractures by hyperbaric oxygenation therapy: A dual case reportMei-Dan OHetsroni IMann GMelamed YNyska MTalar 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.http://www.jpgmonline.com/article.asp?issn=0022-3859;year=2008;volume=54;issue=2;spage=140;epage=143;aulast=Mei-DanAvascular necrosishyperbaric oxygen therapytalar fracture |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mei-Dan O Hetsroni I Mann G Melamed Y Nyska M |
spellingShingle |
Mei-Dan O Hetsroni I Mann G Melamed Y Nyska M Prevention of avascular necrosis in displaced talar neck fractures by hyperbaric oxygenation therapy: A dual case report Journal of Postgraduate Medicine Avascular necrosis hyperbaric oxygen therapy talar fracture |
author_facet |
Mei-Dan O Hetsroni I Mann G Melamed Y Nyska M |
author_sort |
Mei-Dan O |
title |
Prevention of avascular necrosis in displaced talar neck fractures by hyperbaric oxygenation therapy: A dual case report |
title_short |
Prevention of avascular necrosis in displaced talar neck fractures by hyperbaric oxygenation therapy: A dual case report |
title_full |
Prevention of avascular necrosis in displaced talar neck fractures by hyperbaric oxygenation therapy: A dual case report |
title_fullStr |
Prevention of avascular necrosis in displaced talar neck fractures by hyperbaric oxygenation therapy: A dual case report |
title_full_unstemmed |
Prevention of avascular necrosis in displaced talar neck fractures by hyperbaric oxygenation therapy: A dual case report |
title_sort |
prevention of avascular necrosis in displaced talar neck fractures by hyperbaric oxygenation therapy: a dual case report |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Postgraduate Medicine |
issn |
0022-3859 0972-2823 |
publishDate |
2008-01-01 |
description |
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. |
topic |
Avascular necrosis hyperbaric oxygen therapy talar fracture |
url |
http://www.jpgmonline.com/article.asp?issn=0022-3859;year=2008;volume=54;issue=2;spage=140;epage=143;aulast=Mei-Dan |
work_keys_str_mv |
AT meidano preventionofavascularnecrosisindisplacedtalarneckfracturesbyhyperbaricoxygenationtherapyadualcasereport AT hetsronii preventionofavascularnecrosisindisplacedtalarneckfracturesbyhyperbaricoxygenationtherapyadualcasereport AT manng preventionofavascularnecrosisindisplacedtalarneckfracturesbyhyperbaricoxygenationtherapyadualcasereport AT melamedy preventionofavascularnecrosisindisplacedtalarneckfracturesbyhyperbaricoxygenationtherapyadualcasereport AT nyskam preventionofavascularnecrosisindisplacedtalarneckfracturesbyhyperbaricoxygenationtherapyadualcasereport |
_version_ |
1725673276358787072 |