![]() This can be very challenging in talus fractures due to the multiple fragments of bone. The aim of surgery is to restore the normal architecture of the talus, and re-align the surrounding joints. Surgical treatment: Most talus fractures require surgical treatment. Patients who smoke, have poor blood circulation or who have diabetes are also treated non-operatively sometimes due to the high risks of surgery in this fracture type. Non-surgical treatment: If the bone has not moved out of alignment, and the joints are well aligned, complete immobilisation in a below knee cast may be recommended for 6 to 8 weeks. The Hawkins classification is used to stratify different fracture types and guide treatment and prognosis. Treatment is based on displacement of the fracture parts and involvement of the surrounding joints. Due to the high-energy causes of these fractures, history and examination to rule out injuries to other body parts is also required. Given that these fractures often involve the surrounding joints, a CT scan is also usually needed to gain a full understanding of the fracture pattern and plan treatment. How are talus fractures diagnosed?Ī history, physical examination and x-rays of the affected ankle are required to make the diagnosis. The symptoms include severe ankle pain, inability to walk, swelling and tenderness. ![]() How do talus fractures occur?įractures of the talus are usually the result of high-energy injuries, such as a fall from great height, a motor vehicle accident or severe twisting of the ankle. The talus has no muscle or tendon attachments, and is largely covered by cartilage, and this makes fractures very difficult to heal. The front of the talus forms a third joint with the navicular (talonavicular joint), which has a complicated biomechanical function controlling flexibility and the arch of the foot. Underneath the talus is the calcaneus (heel bone), and the joint they form (the subtalar joint) is responsible for side-to-side movement of the foot. ![]() It essentially connects the leg to the foot, and sits between the ankle mortise formed by the ends of the tibia and fibula. Physical therapy exercises will be initiated to restore movement.The talus is the small bone that forms the lower part of the ankle joint, and allows for flexion and extension of the ankle. After surgery, you may have to wear a cast for 6 to 8 weeks until complete healing. Surgical treatment: If the fractured bones have shifted out of position, your surgeon will suggest surgery to realign the fractured bones and stabilize the talus with metal plates and/or screws. You will be advised to perform exercises to help strengthen your foot and ankle and restore range of motion once the cast is removed. Non-surgical treatment: If the bone has not moved out of alignment, your doctor will place your ankle in a cast for 6 to 8 weeks. Based on the finding, your doctor will treat talus fractures by either non-surgical or surgical methods. When you present to the clinic with these symptoms, your doctor will perform a thorough physical examination and order an X-ray or CT-scan to diagnose the location and severity of the fracture. Symptoms include severe ankle pain, inability to walk, swelling and tenderness. Fractures in the talus bone may occur due to a fall from great heights, motor vehicle accidents or sports injuries. The talus is a small bone at the ankle joint that connects the heel bone and the shin bones, enabling the up and down movement of the foot. Home // Patient Education // Foot & Ankle // Conditions // Talus Fractures Talus Fractures
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