Morio Futoshi, Morimoto Shota, Tachibana Toshiya, Iseki Tomoya
Department of Orthopaedic Surgery, Hyogo Medical University, Nishinomiya, Hyogo, Japan.
J Surg Case Rep. 2023 Feb 2;2023(2):rjad029. doi: 10.1093/jscr/rjad029. eCollection 2023 Feb.
Fragility fractures of the talar neck are extremely rare. Here, we describe a case of fragility fracture of the talar neck associated with osteoporosis in a 76-year-old female, who was treated by posterior-to-anterior screw fixation under hindfoot endoscopy. A 76-year-old female cleaner with a history of osteoporosis complained of pain in her right ankle when going downstairs. Radiological findings revealed a fragility fracture of the talar neck associated with osteoporosis. Because the patient was elderly and it was difficult to treat using a prolonged non-weight-bearing cast, we performed a posterior-to-anterior parallel dual screw fixation under hindfoot endoscopy for this case. As a result, the patient was able to return to work 8 weeks after surgery without pain, dysfunction or complication. Osteosynthesis with posterior-to-anterior screw fixation under hindfoot endoscopy successfully treated a rare case of fragility fracture of the talar neck in a 76-year-old female cleaner.
距骨颈脆性骨折极为罕见。在此，我们描述一例76岁女性的距骨颈脆性骨折合并骨质疏松症的病例，该患者接受了后足内镜下由后向前的螺钉固定治疗。一名有骨质疏松症病史的76岁女性清洁工下楼时抱怨右脚踝疼痛。影像学检查结果显示为距骨颈脆性骨折合并骨质疏松症。由于患者年事已高，难以采用长时间非负重石膏固定治疗，因此我们针对该病例在足内镜下进行了由后向前的平行双螺钉固定。结果，患者术后8周能够重返工作岗位，无疼痛、功能障碍或并发症。后足内镜下由后向前螺钉固定的骨合成术成功治疗了一名76岁女性清洁工罕见的距骨颈脆性骨折病例。
