Talus fractures may be treated in a cast or surgery may be recommended.
Non-Surgical Treatment: Non-surgical treatment is recommended for fractures in which the pieces of bones remain close together and the joint surfaces are well aligned. Patients who smoke or have diabetes or poor circulation may be treated without surgery due to the very high risk of developing complications if surgery is performed.
Surgical Treatment: For a majority of patients, surgical treatment is the correct form of treatment. The goal of surgery is to restore the size and shape of the talus. Sometimes this is a problem as the multiple fragments of bone are like putting together the pieces of a difficult puzzle.
If the bone has several larges pieces your surgeon may perform open reduction and internal fixation (ORIF). The procedure involves making a cut on the outside of your foot and placing a metal plate and/or screws to hold the bones together until healing occurs. The procedure allows for maximal recovery of the inward and outward motion of the foot.
X-ray of the talus after surgery