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- Amanda Gonzalez, Richard Stern, and Mathieu Assal.
- Division of Orthopaedics and Trauma Surgery, University Hospitals of Geneva, Geneva, Switzerland.
- J Orthop Trauma. 2011 May 1;25(5):e47-50.
AbstractWe report three cases of a closed Hawkins III talar neck fracture in which the posteromedially dislocated talar body was irreducible even with combined anteromedial and anterolateral approaches. Our intraoperative solution was to proceed with a medial malleolar osteotomy, which resulted in an easy reduction. The combined incisions provided excellent exposure for anatomic reduction and rigid internal fixation. At a mean follow-up of 4 years, all fractures had healed with no evidence of avascular necrosis or talar dome collapse.
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