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Talar Dome Fracture Repaired Using Bioabsorbable Fixation

^* Podiatric Surgical Residency, Mercy Hospital, Coon Rapids, MN.

Corresponding author: David J. Neese, DPM, 4050 Coon Rapids Blvd, Attn: Podiatry (51400), Coon Rapids, MN 55433.

Abstract

We describe a man with an acute osteochondral defect in the lateral talar dome associated with a supination-adduction–type ankle fracture. The osteochondral defect was readily visible on plain film radiographs, and magnetic resonance imaging was ordered to determine the full extent of soft-tissue and articular injury. It was discovered that the patient had a stage IV lesion of the talar dome, with complete inversion of the fragment, and rupture of the anterior talofibular and calcaneofibular lateral ankle ligaments. Furthermore, the patient experienced an oblique fracture of the medial malleolus with comminution. The talar dome lesion was surgically reduced and fixated using bioabsorbable pins. Nine months after surgery, the patient was fully recovered from his injury and had no functional limitations. (J Am Podiatr Med Assoc 96(3): 256–259, 2006)