Talus fracture-A myth

Abstract

Talus with its unique anatomy and function predisposes it to un4common but serious injuries, usually due to high energy trauma. obtaining satisfactory clinical results, while avoiding complications, presents a unique challenge in the treatment of talar fractures, especially of talar neck as it also remains controversial the requirement of emergency treatment in these fractures. Despite of all excellent management, nonunion rate in type 3 and type 4 Hawkins fracture was found to be 5% and AVN of body of talus was found to be 25% types 2,3,4 were associated with talar body dislocation which caused excessive pressure on soft tissues causing significant soft tissue complications. We retrospectively reviewed 25 patients with talar ractures treated operatively with an average follow up period of 1 year. Displaced talar fractures was a therapeutic challenge which had early and late complication

Will you review this patient with an open ankle injury?

“…The talocalcaneal joint is often referred to as the subtalar joint, however, isolated subtalar dislocations (answer A) are associated with preservation of the tibiotalar joint. Talar fractures can be classified by the Hawkins or Marti/Weber classifications based on the extent of dislocation or subluxation of the talus (answers B and D require presence of talar fracture) 2…”