Talus Fractures

The talus forms part of the ankle joint. It also connects leg to the foot, 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 sports injuries. Symptoms include severe ankle pain, inability to walk, swelling and tenderness.

Talus fractures are truly life changing injuries that need a solid treatment plan. It often requires operative intervention.

When you present to the clinic with these symptoms, Dr. Mesnier will perform a thorough physical examination and order an X-ray or CT-scan to diagnose the location and severity of the fracture. Based on the finding, Dr. Mesnier will treat talus fractures 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 4 to 8 weeks, followed by a boot for an additional 2 to 4 weeks, depending on the fracture. 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: If the fractured bones have shifted out of position, Dr. Mesnier will recommend surgery to realign the fractured bones and stabilize the talus with metal plates and/or screws. After surgery, you may have to wear a cast for 4 to 8 weeks, followed by a boot for 2 to 4 weeks until complete healing. Physical therapy exercises will be initiated to restore movement.

Outcome: Post traumatic arthritis is a frequent consequence of a talus fracture.

  • Oregon Medical Association
  • Providence Saint Joseph Medical Center
  • American Academy of orthopaedic Surgery
  • American orthopaedic Foot and Ankle Society