Retrospective case series of 26 isolated, displaced talar neck and body fractures treated with ORIF and followed a minimum of 4 years. Asks: what are the true long-term complication rates — and does surgical timing matter?
When you see a displaced talar neck or body fracture, counsel the patient upfront: subtalar arthritis and chronic pain are near-certain outcomes even with anatomic fixation, and osteonecrosis risk is tied to injury severity — not whether you fixed it at 6 hours vs. 48 hours.
Open fractures carry a categorically worse prognosis across every metric.
Retrospective case series of 26 isolated, displaced talar neck and body fractures treated with ORIF and followed a minimum of 4 years. Asks: what are the true long-term complication rates — and does surgical timing matter?
When you see a displaced talar neck or body fracture, counsel the patient upfront: subtalar arthritis and chronic pain are near-certain outcomes even with anatomic fixation, and osteonecrosis risk is tied to injury severity — not whether you fixed it at 6 hours vs. 48 hours.
Open fractures carry a categorically worse prognosis across every metric.