ABSTRACT
Fractures of the talus comprise a heterogeneous group of injuries ranging from those presenting as an ankle sprain when radiologic diagnosis can be difficult to the severe, resulting from car accidents or falls from a height, when limb preservation becomes paramount and surgery is technically demanding. Plain radiographs including AP, lateral and mortise views of the ankle will identify severe talar neck fractures; however, undisplaced fractures can be subtle and there must be a high index of suspicion based on the mechanism of injury and clinical presentation. Definitive fixation of closed talar neck fractures was historically treated with the same degree of urgency as it was theorised that early stabilisation of the fracture would preserve the blood supply and lower the risk of AVN. Talar body fractures have been associated with a high incidence of complications including AVN and OA of the ankle and subtalar joints.
