Tf. Higgins et Mr. Baumgaertner, Diagnosis and treatment of fractures of the talus: A comprehensive review of the literature, FOOT ANKL I, 20(9), 1999, pp. 595-605
Fractures of the head, neck, and body of the talus present difficult treatm
ent challenges. The vulnerable blood supply and abundant articular surfaces
may lead to long-term problems with osteonecrosis and osteoarthrosis. Prev
ious studies of these relatively rare injuries have been mostly small, inco
nsistent, or anecdotal, leading to confusion and controversy regarding the
optimum treatment of various types of talus fractures. The surgeon who trea
ts these injuries must be prepared to address meticulous reduction and fixa
tion, maintain attentive follow-up, and manage the complications that may r
esult despite appropriate treatment. This review summarizes the findings of
the literature on each type of talus fracture to provide a clearer picture
of their recommended management.