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v4.1 Fusion X
v4.1 Fusion X
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Talar Neck Fractures — Hawkins

Hawkins classification I–IV based on displacement/dislocation. AVN risk increases with stage: I 90%. Urgent reduction and fixation critical to preserve talar blood supply. Fixation: screws/plates, often dual incision approach. Hawkins sign (subchondral lucency) = revascularization on X-ray at 6–8 weeks.

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Hawkins classification I–IV based on displacement/dislocation. AVN risk increases with stage: I <10%, II ~40%, III ~90%, IV >90%. Urgent reduction and fixation critical to preserve talar blood supply. Fixation: screws/plates, often dual incision approach. Hawkins sign (subchondral lucency) = revascularization on X-ray at 6–8 weeks.
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