Surgical Treatment of Traumatic Injuries of the Talus

  • Walter Daghino
  • Alessandro Massè
  • Daniele Marcolli


Talus fractures are injuries relatively infrequent that represent less than the 1% of all the fractures and only the 3–5% of the fractures of the foot.

Classification, indications, goals of surgery and surgical techniques are the main topics that need a careful consideration. Specific cases like snowboarder’s talus and crush injuries need dedicated surgical programs.


  1. 1.
    Fournier A, Barba N, Steiger V et al (2012) Total talar fracture—long-term results of internal fixation of talar fractures. A multicentric study of 114 cases. Orthop Traumatol Surg Res 98(4 Suppl):S48–S55CrossRefPubMedCentralPubMedGoogle Scholar
  2. 2.
    Hawkins LG (1970) Fractures of the neck of the talus. J Bone Joint Surg Am 52(5):991–1002CrossRefPubMedCentralPubMedGoogle Scholar
  3. 3.
    Marti R (1978) Talus und Calcaneusfrakturen. In: Weber BG, Brunner C, Freuler F (eds) Die Frakturenbehandlung bei Kindern und Jugendlichen. Springer, Berlin, pp 373–384Google Scholar
  4. 4.
    Sanders RW, Lindvall E (2007) Fractures and fracture-dislocations of the talus. In: Coughlin MJ, Mann RA, Saltzman CL (eds) Surgery of the foot and ankle, 8th edn. Mosby Elsevier, Philadelphia, pp 2075–2136Google Scholar
  5. 5.
    Inokuchi S, Ogawa K, Usami N (1996) Classification of fractures of the talus: clear differentiation between neck and body fractures. Foot Ankle Int 17(12):748–750CrossRefPubMedCentralPubMedGoogle Scholar
  6. 6.
    Daniels TR, Smith JW (1993) Talar neck fractures. Foot Ankle 14(4):225–234CrossRefPubMedCentralPubMedGoogle Scholar
  7. 7.
    Mayo KA (1987) Fractures of the talus: principles of management and techniques of treatment. Tech Orthop 2:42–54CrossRefGoogle Scholar
  8. 8.
    Swanson TV, Bray TJ, Holmes GB Jr (1992) Fractures of the talar neck. A mechanical study of fixation. J Bone Joint Surg Am 74(4):544–551CrossRefPubMedCentralPubMedGoogle Scholar
  9. 9.
    Ebraheim NA, Mekhail AO, Salpietro BJ et al (1996) Talar neck fractures: anatomic considerations for posterior screw application. Foot Ankle Int 17(9):541–547CrossRefPubMedCentralPubMedGoogle Scholar
  10. 10.
    Schatzker J, Tile M (1993) The management of fractures and dislocations of the talus. In: Tscherne H, Schatzker J (eds) Maior fractures of the pilon, the talus, and the calcaneus. Springer, Berlin, pp 87–104Google Scholar
  11. 11.
    Dunn AR, Jacobs B, Cambell RD (1966) Fractures of the talus. J Trauma 6:443–444CrossRefPubMedCentralPubMedGoogle Scholar
  12. 12.
    Ebraheim NA, Patil V, Owens C et al (2008) Clinical outcome of fractures of the talar body. Int Orthop 32:773–777CrossRefPubMedCentralPubMedGoogle Scholar
  13. 13.
    Thordarson DB (2001) Talar body fractures. Orthop Clin North Am 32:65–77CrossRefPubMedCentralPubMedGoogle Scholar
  14. 14.
    Hantira H, Al Sayed H, Barghash I (2003) Primary ankle fusion using blair technique for severely comminuted fracture of the talus. Med Princ Pract 12:47–50CrossRefPubMedCentralPubMedGoogle Scholar
  15. 15.
    Harnroongroj T, Harnroongroj T (2014) The talar body prosthesis: results at ten to thirty-six years of follow-up. J Bone Joint Surg Am 96(14):1211–1218CrossRefPubMedCentralPubMedGoogle Scholar
  16. 16.
    Vallier HA, Nork SE, Benirschke SK et al (2003) Surgical treatment of talar body fractures. J Bone Joint Surg Am 85:1716–1724CrossRefPubMedCentralPubMedGoogle Scholar
  17. 17.
    Daghino W, Di Gregorio G, Cerlon R (2011) Surgical reconstruction of a crush injury of the talar body: a case report. J Bone Joint Surg Am 93(14):e80. CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    Noda M, Yoshino K, Honda H et al (2004) A comminuted talar body fracture osteosynthesized with bioabsorbable screws: a case report. J Trauma 56:709–712CrossRefPubMedCentralPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Walter Daghino
    • 1
  • Alessandro Massè
    • 1
  • Daniele Marcolli
    • 2
  1. 1.CTO HospitalUniversity of Turin CTO HospitalTurinItaly
  2. 2.Orthopedic divisionAzienda Ospedaliera Ospedale Civile di LMilanoItaly

Personalised recommendations