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J Musculoskelet Trauma : Journal of Musculoskeletal Trauma

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Hyun Sub Kwon 1 Article
Sbuchondral Curettage & Bone Peg Fixation in Osteochondral Fracture of The Talus
Myung Chul Yoo, Yoon Je Cho, Hyun Sub Kwon, Jae Young Park
J Korean Soc Fract 1998;11(4):932-940.   Published online October 31, 1998
DOI: https://doi.org/10.12671/jksf.1998.11.4.932
AbstractAbstract PDF
Osteochondral fracture is an attached fragment of subchondral bone become partially or completely separated from the underlying bone. Accurate diagnosis of osteochondral fracture of the talus,mainly caused by trauma, is difficult because osteochondral lesion is not detected easily on the roentgenographic examination. Osteochondal fracture is intraarticular fracture, thus operative approach and fixation is technically difficult and requires talus, with subchondral bone curettage through percutaneous extraarticular transtalar approact under the C-arm guide without arthrotomy in three cases of minimally detached or elevated osteochondral fragment. And two cases of partially detached osteochondral fragment treated by bone peg fixation with arthrotomy. We obtained good functional results at the follow-up of a mean of 1 year and 5 months. We believe that the subchondral curettage and bone peg fixation are excellent treatment methods for osteochondral fracture of the talus.
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