[Fractures of the talus]

Area of Science:

• Orthopedic Surgery
• Traumatology
• Sports Medicine

Background:

• Talus fractures, particularly of the posterior and lateral processes, are common injuries.
• Management strategies for talus fractures are diverse and depend on fracture characteristics.

Purpose of the Study:

• To outline current therapeutic approaches for various talus fractures.
• To provide guidance on surgical versus non-surgical interventions based on fracture type and displacement.

Main Methods:

• Review of established treatment protocols for talus fractures.
• Classification of talus fractures based on anatomical location and displacement.
• Surgical techniques discussed include open reduction and internal fixation (ORIF), arthroscopy, K-wire fixation, external fixation, and triple arthrodesis.

Main Results:

• Peripheral talus fractures (posterior, lateral process) often require conservative management.
• Displaced larger fragments and fractures of the talar head/neck necessitate surgical reduction and fixation (screws, K-wires).
• Comminuted, open, or irreducible fractures may require ORIF, external fixation, or in chronic cases, triple arthrodesis.

Conclusions:

• Tailored treatment is essential for optimal outcomes in talus fractures.
• Surgical intervention is indicated for displaced and unstable talus fractures.
• Advanced techniques like arthroscopy and revascularization offer solutions for specific talar injuries.