1996 Volume 45 Issue 1 Pages 64-66
We repart a case of osteochondral fracture of the talus with rupture of the anterior talo-fibular and calcaneo-fibular ligaments, treated by using an absorbed pin. The subject was a 30 year-old man who was injured while playing tennis.
Plain X-ray showed a partially detached fragment which we diagnosed as a Berndt classification stage 2. Three days after the injury we operated by using 2 absorbed pins and ruptured ligaments. AT the time of surgery the fragment was found to be completely detached, so we revised the diagnosis to a Berndt stage 3.
The patient was immobilized in a cast for 4 weeks after which he started active excise of the angle. Weight bearing of 10kg was allowed form the 6th week after surgery and increased by 10kg each week. Good results were achieved using this treatment.
