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. The talus is important for ankle movement, therefore a fracture often results in substantial loss of motion and function. Talus fractures that do not heal properly can lead to complications including a limp, arthritis and chronic pain. For this reason, most talus fractures require surgery.

Diagnosis

Diagnosis is made by medical consultation and examination, taking the patient's past medical history and physically inspecting the injured area. An X-ray or CT may be taken to identify the location and severity of fracture.

Treatment Options

Non Operative Treatment

Stable, well-aligned fractures can be treated without surgery and done with a combination of immobilisation followed by rehabilitation. Immobilisation involves placing your ankle in a cast for six to eight weeks to allow sufficient time for the bone to heal. Following this, the case is removed and you are given specific exercises to help rehabilitate the foot and ankle by restoring range of motion and strength.

Surgery

If the fractured bones have shifted out of position, your surgeon will suggest surgery to realign the fractured bones and stabilise the talus with metal plates and/or screws. After surgery, you may be required to wear a cast for six to eight weeks until healing is complete. When ready, physical therapy exercises will be initiated to restore movement.