Talus Fractures

Anatomy

The talus is a small bone at the ankle joint that connects the heel bone and the two bones of the lower leg, enabling the up and down movement of the foot. Fractures in the talus bone may occur due to a fall from great heights, motor vehicle accidents or twisting of the ankle. The symptoms include severe ankle pain, inability to walk, swelling and tenderness.

When you present to the clinic with these symptoms, your doctor will perform a thorough physical examination and order an X-ray or CT-scan to diagnose the location and severity of the fracture. Talus fractures are treated by either non-surgical or surgical methods.

Non-surgical treatment: If the bone has not moved out of alignment, your doctor will place your ankle in a cast for 6 to 8 weeks. You will be advised to perform exercises to help strengthen your foot and ankle and restore range of motion once the cast is removed.

Surgical treatment: Your surgeon realigns the fractured bone and stabilizes it with metal plates and/or screws. Small bone fragments may be removed and replaced with bone graft. After surgery, you may have to wear a cast for 6 to 8 weeks until complete healing. Physical therapy exercises will be initiated to restore movement.