Issue: 2026, Vol. 31, No. 2
CLASSIFICATION OF TALAR FRACTURE-DISLOCATIONS BASED ON TYPICAL FRAGMENT DISPLACEMENT AND CAPSULOLIGAMENTOUS COMPLEX INVOLVEMENT
- Keywords
- talar fracture, classification, ligamentous injury, Ilizarov apparatus
- Abstarct
- A review of existing classifications for talar fracture-dislocations revealed the absence of a system that adequately describes the morphological characteristics of the injury and associated capsuloligamentous complex (CLC) damage. Objective – to expand the classification framework to reflect anatomical patterns of talar fragment displacement and predict probable CLC injuries. Materials and Methods. Medical records, computed tomography (CT) and ultrasound findings, and SF-36 questionnaire results were analyzed for 46 patients with talar fracture-dislocations. Results and Discussion. Based on the analysis, a working classification of talar fracture-dislocations was developed. Four injury types were identified, along with prognostic indicators for CLC damage. Application of this classification in the treatment of 21 patients increased the rate of successful and minimally invasive reductions to 63 %, improved diagnosis and surgical repair of ankle and subtalar joint capsuloligamentous injuries, and ultimately contributed to joint preservation. Positive clinical outcomes were corroborated by SF-36 scores. Conclusion. The proposed classification details the anatomy of talar fracture-dislocations and accounts for CLC involvement, thereby facilitating optimal fixation strategy selection. Given its limitations as a working model, it should be used in conjunction with the AO/OTA and Hawkins classifications.
Quid est Veritas-26-33