Surgical Management of Small Talar Osteochondral Fractures with Antegrade Kirschner Wire Fixation: A Case Study - Takeaways - MDSpire

Surgical Management of Small Talar Osteochondral Fractures with Antegrade Kirschner Wire Fixation: A Case Study

  • By

  • Wang, Haiqing

  • Yao, Lufeng

  • Zhang, Feng

  • Huang, Lei

  • May 25, 2026

  • 0 min

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  • 1

    Small acute osteochondral fractures of the talus are rare and often undiagnosed, risking long-term ankle arthritis.

  • 2

    The case report discusses antegrade Kirschner wire fixation for a small osteochondral fracture combined with a medial malleolus fracture.

  • 3

    Surgical exposure of the osteochondral fracture was achieved by opening the undisplaced medial malleolus fracture.

  • 4

    Two 1.0-mm Kirschner wires were inserted antegrade, ensuring the wire tails were flush with the articular surface.

  • 5

    Radiological imaging confirmed successful healing of the osteochondral fragment and medial malleolus two months postoperatively.

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