case_images: PMC7276598_01
case_images: Computed tomography scan demonstrating a Hawkins type II talar neck fracture with a third anteromedial dome fragment. Note the significant anterior displacement and small articular loose bodies from the fracture.
case_images: JOCR-9-90-g001.jpg
case_images: PMC7276598_01_JOCR-9-90-g001.jpg
case_images: F1
case_images: There were three major talar fragments including an intermediate anteromedial displaced articular, head, and body (Fig. 1).
case_images: Views through the anterolateral arthroscopic portal. The fracture reduction maneuver using an arthroscopic probe. The step deformity has been reduced with direct pressure, under direct visualization.
case_images: JOCR-9-90-g002.jpg
case_images: PMC7276598_01_JOCR-9-90-g002.jpg
case_images: F2
case_images: Then, conversion to a minimally invasive approach from anteromedial portal (about 4cm) was performed, allowing to directly maintain the reduction of the intermediate articular fragment, confirm a stepof inferior to 1mm, debride synovium, and remove small articular fragments (Fig. 2).
case_images: Post-operative X-rays and intraoperative guide wires position.
case_images: JOCR-9-90-g003.jpg
case_images: PMC7276598_01_JOCR-9-90-g003.jpg
case_images: F3
case_images: Finally, other two 4.0mm cannulated partial threatened screws (Stryker) were used to complete the fixation (Fig. 3).
case_images: Anteroposterior and lateral radiographs from 6-week follow-up demonstrating maintenance of hardware placement, no displacement of the fracture, and Hawkins sign. Computed tomography showing articular congruity and fracture healing.
case_images: JOCR-9-90-g004.jpg
case_images: PMC7276598_01_JOCR-9-90-g004.jpg
case_images: F4
case_images: No degenerative changes of subtalar or talonavicular joints were observed on radiographs at 6-month follow-up (Fig. 4).
case_images: Clinical results 4 months after surgery with tiptoe test.
case_images: JOCR-9-90-g005.jpg
case_images: PMC7276598_01_JOCR-9-90-g005.jpg
case_images: F5
case_images: No differences in the hindfoot alignment were seen (Fig. 5).