Abstract

Comminuted fractures and fracture-dislocations of the talus present significant challenges in orthopedic trauma, often leading to complications such as osteonecrosis that can severely impact long-term outcomes. This study evaluates the effectiveness of the Blair fusion with Ilizarov technique in managing these complex injuries. Effective primary management and close monitoring for potential complications, particularly in displaced fractures, were prioritized. Utilizing anteroposterior radiographs at 6-8 weeks post-injury allowed for early recognition of osteonecrosis through the Hawkins sign. Surgical intervention involved excising necrotic talus tissue and performing Blair fusion with Ilizarov fixator. Results indicated significant anatomical restoration without limb shortening, high rates of arthrodesis, and preserved functional mobility at the subtalar joint

Keywords

Ilizarov