Management of Fracture Neck of Talus and Clinical Evaluation

Ankle injuries and Talar neck fractures are almost always the result of a high-energy trauma. It always remains a topic of debate whether talar neck fractures require emergent reduction. Most orthopaedic surgeons recommend the use of dual surgical approaches, anterolateral and anteromedial, to allow accurate visualization of the fracture and also for anatomic reduction. It is most important to cautiously preserve any remaining blood supply of the talus. Obtaining acceptable reduction and clinical results, while avoiding complications, presents a unique challenge in the treatment of the same. Common complications associated with talar neck fractures are, posttraumatic arthritis, osteonecrosis, and malunion, nonunion.