Talus fracture is very rare, it can be divided into the following types:
TypeⅠ: non-displaced fracture of the talar neck
TypeⅡ: talar neck fractures, with the subtalar joint dislocation
Type Ⅲ: talar neck fractures, with the subtalar joint dislocation or tibiotalar
Type Ⅳ:talar neck fractures, merger tibiotalar subtalar joint dislocation and talonavicular.
1. TypeⅠ: non-displaced fracture of the talar neck
(1) The only place the ankle flexor 10 ° or neutral position. The short leg cast can be fixed for 6-8 weeks . Start joint exercise immediately after removal of plaster
(2) Take weight-bearing walking gradually after X-ray showed fracture healing.
2. Type Ⅱ: talar neck fractures, with the subtalar joint dislocation
(1) Fresh type Ⅱ fractures:spinal anesthesia technique first pull reset or Alice, cast immobilization 8-12 weeks for a fracture displacement after the entire complex still exceeds 1mm or any wild rotational deformity, should be open reduction, 4mm in diameter with two partially threaded cancellous screw or absorbable screw fixation, early postoperative functional exercises.
(2) Old typeⅡ fracture, can be appropriately selected subtalar or triple arthrodesis.
3. Type Ⅲ: talar neck fractures, with the subtalar joint dislocation or tibiotalar
(1) Trial closed reduction under anesthesia once, and then apply internal fixation as soon as possible, selecting medial approach. If necessary, malleolus osteotomy can be applied.
(2) For old fracture and consolidated talar body fractures, arthrodesis may be applied.
4. Type Ⅳ: talar neck fractures, merger tibiotalar subtalar joint dislocation and talonavicular
(1) A fusion Siguan may be considered.
(2) If open reduction and internal fixation have been applied, two 4.5mm diameter screws can be chosen to fix talar neck fracture, so that you can prevent the collapse of ischemic necrosis of the talus screw body injury tibial articular surface, and remove the screws to avoid operation damage to the blood supply caused. Then correct talonavicular dislocation by two pinning the navicular bone and it takes 4 weeks before removal.
1. The diet should be light, and do not eat thick greasy fatness of the goods, eating more fresh vegetables, fruits, drinking more water.
2. If limb pain, which affects sleep and rest, take painkillers by the guidance from doctor.
3. Strengthen physical activity, enhancing physical fitness and physical coordination, preventing osteoporosis.
4. Make reasonable and effective, progressive functional exercise.
5. After the removal of traction and external fixation, try to use crutches to prevent fell.
6. Regularly go to the hospital.
