What is the treatment for a talar neck fracture?
Although rare for a talar neck fracture to not be displaced, it is possible to heal the break by immobilizing the injury with a cast below the knee and refrain from bearing weight on it for a six to eight-week period. Once imaging confirms the fracture is healed, the patient will be allowed to bear weight. Prescribed exercises can help improve strength and mobility after the bone is headed.
Surgery is also called open reduction- internal fixation (ORIF). Surgery is always necessary if the bone is displaced and if there is concern the displacement may be disrupting the blood supply. During surgery, the talus will be repositioned to its original placement within the ankle. Different approaches can be used and a combination of screws or plates and screws can be used to stabilize the fracture. Occasionally, dissolving pins are used to stabilize the fracture. After surgery, the patient is typically splinted (a soft cast) for the first two weeks. Patients remain non-weight bearing for approximately six to eight weeks. Early range of motion may be allowed depending on the severity of the injury and the fixation used.