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Table 3 Management strategy for fractures of the posterior process of the talus

From: Anatomical observation, classification, fracture and finite element analysis of the posterior process of the Asian adult talus

Fracture characteristics

Management

Fracture types

Management

 < 0.5 cm, extra-articular, or avulsion fracture

Conservative

Pointy

Undisplaced

Conservative

 < 0.5 cm, displaced, intra-articular

Arthroscopic excision

 

Displaced

Excision

0.5–1 cm, displaced

Arthroscopic assessment of chondral lesion

Flat

Follow the management strategy for fracture characteristics described above

 

 > 1 cm single fragment

Arthroscopic assisted screw fixation

Neck-like

Displaced neck is too thin to fixed

Excision

 > 1 cm or multiple segmental fractures, or comminuted fractures, or fractures with dislocation

Emergency reduction, open reduction and internal fixation

 

Others

Follow the management strategy for fracture characteristics described above

  

Round blunt

Follow the management strategy for fracture characteristics described above

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