Management of fractures of the talus: body and head regions

Abstract

Talar head and body injuries are not recognized easily and can create significant long-term disability when missed. Careful investigation of any injury about the ankle requires clinical and radiographic examination. A CT scan is extremely helpful in diagnosing and treating these injuries. Displaced fractures require open reduction of the major joint surfaces and internal fixation. Prolonged nonweight bearing and immobilization is the norm. Despite aggressive management, complications that involve avascular necrosis and posttraumatic arthritis to the subtalar and ankle joints occur frequently.