The Orthobullets Podcast Foundations⎪Trauma⎪Talar Neck Fractures
5 snips
Apr 15, 2025 Delve into the world of talar neck fractures as the discussion highlights their classification as high-energy injuries often leading to avascular necrosis. Learn about the crucial anatomy involved and the injury mechanisms. The conversation then shifts to management strategies, presenting both non-operative and operative treatment options. Emergency interventions like closed reduction for non-displaced fractures are emphasized, alongside real-life clinical scenarios that illustrate potential complications.
AI Snips
Chapters
Transcript
Episode notes
High-Risk Mechanism Insight
- Talar neck fractures are high-energy injuries linked to a high risk of avascular necrosis.
- They most commonly result from forced dorsiflexion combined with axial load.
Emergent Reduction Essential
- Always perform emergent closed reduction of talar neck fractures in the emergency room.
- Use short leg casting with strict non-weight bearing only for non-displaced fractures.
Surgical Indications for ORIF
- Displaced talar neck fractures and talar extrusion require open reduction and internal fixation (ORIF).
- Anatomic reduction is crucial to prevent avascular necrosis and arthritis.