Journal of Postgraduate Medicine
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CASE REPORT
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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

O Mei-Dan1, I Hetsroni1, G Mann2, Y Melamed3, M Nyska1 
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
Israel

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.


How to cite this article:
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.J Postgrad Med 2008;54:140-143


How to cite this URL:
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. J Postgrad Med [serial online] 2008 [cited 2021 Mar 4 ];54:140-143
Available from: https://www.jpgmonline.com/article.asp?issn=0022-3859;year=2008;volume=54;issue=2;spage=140;epage=143;aulast=Mei-Dan;type=0


 
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