Arthroscopic Reduction and Internal Fixation of Talus Fractures: An All-inside Soft-tissue Preserving Technique

Abstract

Talus fractures, although rare, can lead to devastating complications. The most common of which is posttraumatic osteoarthritis involving the subtalar and tibiotalar joints which can be a result of malunion, nonunion, and avascular necrosis. The timing and method of fixation of these injuries has been controversial. Most experts recommend a dual incision approach to facilitate anatomic reduction. We present an alternative technique for talus fracture management that may reduce soft-tissue stripping and further vascular compromise using a posterior talus arthroscopic reduction internal fixation technique. With this method, talus fractures are reduced arthroscopically and fixed percutaneously while preserving vascularity to the talus and limiting further stress to the soft-tissue envelope. Level of Evidence: Diagnostic Level V—expert opinion. See Instructions for Authors for a complete description of levels of evidence.