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Talus fracture Print

Talus fracture

Talus forms ankle joint with distal tibia and fibula. While it articulates with distal tibia and fibula superiorly, it also articulates with calcaneus inferiorly.

Talar fractures usually occur with high energy traumas like falling from height, mtor vehicle accidents, skiing injuries.

What are the symptoms of Talar Fractures?

Ankle Swelling,  and Pain along with difficulty in bear weight on effected site are the common complains. Talar fractures are classified as head, body or collum fractures according to the fracture location.

Which problems can a talar fracture lead?

Avascular necrosis of talus in an ominous complication which can be seen following talar fractures. Avascular necrosis is seen secondary to disruption of the blood supply of talus and shows destruction and deformity in the involved talar bone.

Degenerative osteoarthritis is another complication that can be seen in either talonavicular,  or tibiotalar or talocalcaneal joints.

Nonunion of talar fracture and chronic ankle pain are the other complications encountered following talar fractures.

How to evaluate talar fractures?

In most cases, diagnosis is made by physical exam and direct radiology.However, it is very important to identify the fracture exact location and pattern so that appropriate treatment could be commenced.

Treatment of Talar Fracture?

Possible comlpications like avascular necrosis, osteoarthritis, and pain can be prevented with anatomic reduction and prompt internal fixation. For that reason, most talar fractures are treated surgically. Talar fracturs which are classified as nondisplaced incomplete fractures, bone fissurs, fractures withou any risk of displacement can be treated with nonsurgical techniques like cast application. Most patients treated with cast are not allowed put pressure on the fractured foot for 6-8 weeks.

Key Words: talus, ankle bone, talar fracture, talus fracture, talus avascular necrosis

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