Surgical Management Protocol of Hawkins Type 3 Comminuted Fracture Neck of Talus: Case Series

Introduction: Talus fractures are troublesome injuries. It is very difficult to achieve good functional and radiological outcome in Hawkins type 3 comminuted fracture neck of talus. Case Series: In our study, 7 cases of Hawkins type 3 comminuted fracture neck of talus were operated in R.D. Gardi Medical College, Ujjain between August 2020 to August 2023 with the sequence of early closed reduction of dislocation and application of external fixator (SPAN) on the day of admission, followed by 3 dimensional computed tomography – scanning (SCAN) and then, definitive surgery through open reduction of fracture (through dual incision approach) and internal fixation with cannulated cancellous screws (FIX) along with Primary bone grafting. Results: With the surgical management protocol followed by us, the union was achieved in all 7 cases. Hawkins sign was seen in all 7 cases by 10 weeks post-operatively. There was no incidence of complications, such as wound dehiscence and infections post-operatively. The present study had a minimum follow-up of 6 months. Conclusion: Our Surgical management protocol led to excellent functional and radiological outcomes in all cases. Patients were able to return to their pre-injury functional activities along with full-weight-bearing walking without support within 6 months of surgery. Keywords: Hawkins classification, comminuted talus fracture, primary bone grafting.