A comprehensive review of talus fracture evaluation and treatment, covering head, neck, and body fractures. Addresses classification (Hawkins types I–IV for neck fractures, Sneppen for body fractures), surgical approaches, fixation strategies, and management of complications including osteonecrosis, malunion, and posttraumatic arthrosis.
When you see a talar neck fracture, even 1–2 mm of displacement upgrades it to a Type II — do not treat it as nondisplaced.
Get a Canale view to assess neck alignment, obtain CT to evaluate medial comminution, and plan for ORIF with a combined anteromedial and anterolateral approach to avoid the varus malunion that plagued historical closed-reduction series.
A comprehensive review of talus fracture evaluation and treatment, covering head, neck, and body fractures. Addresses classification (Hawkins types I–IV for neck fractures, Sneppen for body fractures), surgical approaches, fixation strategies, and management of complications including osteonecrosis, malunion, and posttraumatic arthrosis.
When you see a talar neck fracture, even 1–2 mm of displacement upgrades it to a Type II — do not treat it as nondisplaced.
Get a Canale view to assess neck alignment, obtain CT to evaluate medial comminution, and plan for ORIF with a combined anteromedial and anterolateral approach to avoid the varus malunion that plagued historical closed-reduction series.