The Acute Management and Associated Complications of Major Injuries of the Talus.

Abstract

* Fractures of the talus are uncommon injuries that can be devastating for the patient and challenging to treat.* A dual-incision approach is the current standard of care for performing open reduction and internal fixation for displaced fractures of the talus.* Emergency operative treatment is recommended for an extruded talus, open fractures or dislocations, and dislocations that fail closed reduction and compromise the skin.* There is no authoritative clinical evidence to support emergency definitive surgical fixation. Rather, delayed treatment may prevent further soft-tissue insult.* Posttraumatic arthritis is the most common complication of talar fractures or dislocations, but osteonecrosis and wound complications are also prevalent concerns.