Mr Thomas HesterAnkle & foot fracture surgeon, London
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Talus fracture

Fractures of the talus, where accuracy of reduction and the blood supply are the principal concerns.

Talus fracture fixed with screws (AP view)
Fig. 1. Talus fracture fixed with screws (AP view)
Lateral view showing screw fixation of the talus
Fig. 2. Lateral view showing screw fixation of the talus

The injury

The talus lies between the tibia and the calcaneus. Its blood supply enters through narrow channels that a fracture may interrupt. Fractures follow forced dorsiflexion with axial load, characteristically a fall from height or a motorcycle collision.

Treatment

Undisplaced fractures may be treated in a cast. Any displacement is an indication for fixation, usually through medial and lateral incisions, with screws or small plates so that the adjacent joints are accurately restored.

Recovery

Eight to twelve weeks of protected weight-bearing is usual. The specific risks of this fracture — avascular necrosis of the talar body and subsequent post-traumatic arthritis — are monitored with serial radiographs and, where indicated, MRI.

Arranging an appointment. Private patients are seen at King Edward VII's Hospital, The London Clinic, Cromwell Hospital and HCA Healthcare at The Shard. NHS patients are seen at King's College Hospital.

Call 020 7046 8004 or send an enquiry.

Radiographs are from my own practice, reproduced uncropped with identifying details removed. This page provides general information and is not a substitute for individual assessment.

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