Volume 8, Issue 1 (6-2026)
Tabari Biomed Stu Res J 2026, 8(1): 13-20 |
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Peivandi M T, Shirdel S S, Hosseinian S H S, Abdollahi A, Ebrahimzadeh M H, Razi A, et al . Does the Timing of Surgery Predict Clinical and Radiographic Outcomes After Talar Fracture?. Tabari Biomed Stu Res J 2026; 8 (1) :13-20
URL: http://tbsrj.mazums.ac.ir/article-1-3913-en.html
URL: http://tbsrj.mazums.ac.ir/article-1-3913-en.html
Mohammad Taghi Peivandi1 
, Seyed Sadegh Shirdel *1 , Sayyed Hadi Sayyed Hosseinian1 , Amirsaleh Abdollahi2 , Mohammad H. Ebrahimzadeh1 , Amin Razi1 , Ali Vahdatian3 , Abolfazl Ghadiry4
, Seyed Sadegh Shirdel *1 , Sayyed Hadi Sayyed Hosseinian1 , Amirsaleh Abdollahi2 , Mohammad H. Ebrahimzadeh1 , Amin Razi1 , Ali Vahdatian3 , Abolfazl Ghadiry4
1- Orthopedic Research Center, Shahid Kamyab Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
2- Mazandaran University of Medical Sciences, Sari, Mazandaran, Iran
3- Department of Radiology, Birjand University of Medical Sciences, Birjand, Iran
4- Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran
2- Mazandaran University of Medical Sciences, Sari, Mazandaran, Iran
3- Department of Radiology, Birjand University of Medical Sciences, Birjand, Iran
4- Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran
Abstract:
Background: Talar fractures are uncommon, usually result from high-energy trauma, and may lead to osteonecrosis, non:union:, mal:union:, and post-traumatic osteoarthritis. Objective: To evaluate clinical and radiographic outcomes after surgically treated talar fractures and assess whether the timing of reduction and definitive fixation was associated with those outcomes. Methods: This retrospective observational study included 38 of 53 patients who underwent surgical treatment for a talar fracture between April 2013 and April 2017. Demographic, injury, fracture, and treatment data were obtained from medical records. Radiographs and computed tomography scans were reviewed for :union:, mal:union:, osteonecrosis, and osteoarthritis. Functional outcomes were assessed using the American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score, visual analogue scale (VAS) for pain, and Manchester-Oxford Foot Questionnaire (MOXFQ). Mean follow-up was 38 months (range, 11–70 months). Results: The cohort included 33 men and 5 women with a mean age of 33 years. Osteoarthritis occurred in 52.6% of patients and osteonecrosis in 47.3%; mal:union: and non:union: occurred in 5.3% and 2.6%, respectively. Mean AOFAS, MOXFQ, and VAS scores were 60.3, 67.6, and 4.9. Within the observed surgical interval, we were unable to detect a statistically significant association between treatment timing and osteonecrosis or functional outcome. Conclusion: Complications and functional impairment were common after surgically treated talar fractures. The timing finding should be interpreted cautiously because of the limited sample size and potential selection bias.
Keywords: clinical outcome, radiographic outcome, talar fracture, post-traumatic osteoarthritis, osteonecrosis
Type of Study: Research (Original) |
Subject:
Orthopedic surgery
Published: 2026/06/20 | ePublished: 2026/06/20
Published: 2026/06/20 | ePublished: 2026/06/20
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