![]() Based on the nature of epidemiological studies, these findings may vary in different countries and societies. Also, Anandasivam et al., in 2019, explained demographic data and associated injuries of talar fractures without determining different patterns and classifications by evaluating 25,615 patients according to the National Trauma Data Bank of the United States. Two studies were performed in Brazil with 24 and 36 cases of talar fracture. To the best of our knowledge, there are few studies focused on all epidemiological aspects of talar fracture. By means of literature review, there are a few published studies on the epidemiology and demographic data of foot and ankle injuries. These researches can have a positive effect in better organization of trauma services and help the health system provider to reduce the cost burden by preventing the etiologic factors. Įpidemiological studies can determine the causes, demographic data, different patterns and characteristics of an injury. Several associated bony and soft tissue injuries have been reported in patients with talar fracture. The most common reported mechanism for talar injuries is high-energy trauma including motor vehicle accidents (MVA) and falls. ![]() Notably, each of these complications could bring a great long-term disability for these patients with a significant reduction in quality of life. Injuries of the talus require careful attention with appropriate treatment approaches and accurate post-treatment follow-up visits in order to reduce possible complications such as wound infection, joint stiffness, muscle atrophies, osteonecrosis, degenerative arthrosis, malunion and nonunion. The incidence of talus fracture is estimated to be 3.2/100,000 per year. It accounts for less than 1% of all fractures and 2–6% of foot and ankle fractures. The population that is most affected by talar injury are active young men who are involved in motor vehicle accidents, especially motorcycle crashes, with fracture of body and/or neck of talus being the most common type.įractures and dislocations of the talus are rare injuries with potentially severe complications. Medial malleolus, fibula and calcaneus were the most common associated fractures, respectively. ![]() Hawkin type IIA (39.2%) was the most common type of talar neck, followed by Hawkin type III (22.3%), type I (21.5%), type IIB (14.6%) and type IV (2.3%). Isolated lateral process fracture is the most frequent fractured process of the talus (14.3%). Isolated talar body fractures (21.9%) were more common than isolated talar neck (19.2%) or combined body & neck fractures (14.6%). About half of the patients injured in MVAs were motorcyclists. The most common mechanism of injury was motor vehicle accident (MVA) (46.1%), followed by falls (43.3%), direct trauma (6.2%) and sport injuries (4.4%). There were three (0.8%) patients with bilateral talar fractures. ResultsĪmong 367 patients, 317 (86.4%) males and 50 (13.6%) females with mean age of 31.8 ± 11.6 years were identified. In a cross-sectional study, the demographic characteristics, mechanism of injury, fracture type, and associated fractures were compiled from all patients’ files and operation notes with diagnosis of talar injuries from January 2014 to December 2019. Injuries of the talus require careful attention with appropriate treatment approaches in order to reduce possible complications. Categorizing different injury patterns of the talus, describing demographic data, mechanisms of injury and associated fractures are important issues in orthopedic trauma surgeries.
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