Post talus neck fracture reconstruction.

Abstract

Talar neck fractures are interesting fractures that require careful ORIF if the patient factors allow. The long-term sequelae of these fractures can be severe regardless of the quality of the reconstruction. Posttraumatic arthritis and avascular necrosis are devastating complications that are unfortunately common. Malunion and nonunion of talar neck fractures need to be evaluated carefully with attention to adjacent joints. A full workup is needed to fully evaluate the patient and fracture factors. If the patient has failed nonoperative treatment then reconstruction or salvage is considered. Reconstruction of ununited and malunited talar neck fractures can be successful if the patient is well selected. Corrective fusion is a viable alternative for those patients who have posttraumatic arthritis. Combined ankle replacement and subtalar fusion remains another motion-conserving procedure.