Transmalleolar Approach for Arthroscopy-Assisted Headless Screw Fixation of an Osteochondral Talar Dome Fracture

J Foot Ankle Surg. May-Jun 2018;57(3):622-626. doi: 10.1053/j.jfas.2017.10.023. Epub 2018 Feb 15.


Displaced osteochondral fractures of the body of talus quite often require a malleolar osteotomy to gain access to the fracture fragment during internal fixation. We describe a case report in which access to a displaced osteochondral fracture of the lateral talar dome was achieved using an arthroscopy-assisted fibular tunnel approach. This technique resulted in satisfactory fracture healing and a satisfactory clinical outcome.

Keywords: headless compression screw; medial malleolus; osteochondral fracture; talus.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Ankle Fractures / diagnostic imaging
  • Ankle Fractures / surgery*
  • Arthroscopy / methods*
  • Bone Screws
  • Follow-Up Studies
  • Fracture Dislocation / diagnostic imaging
  • Fracture Dislocation / surgery*
  • Fracture Fixation, Internal / instrumentation*
  • Fracture Fixation, Internal / methods
  • Fracture Healing / physiology
  • Humans
  • Male
  • Osteotomy / methods
  • Risk Assessment
  • Talus / diagnostic imaging
  • Talus / injuries*
  • Treatment Outcome