Management of talar neck fractures

Talar neck fractures are usually the result of high-energy trauma. It remains controversial whether talar neck fractures require emergent treatment. Most surgeons recommend the use of dual surgical approaches, anteromedial and anterolateral, to allow accurate visualization and anatomic reduction. It is important to carefully preserve any remaining talar blood supply. Obtaining satisfactory clinical results, while avoiding complications, presents a unique challenge in the treatment of talar neck fractures. Common complications include posttraumatic arthritis, avascular necrosis, malunion, and nonunion.