1. Case for small group discussion
Talar fracture
Case for small group discussion
AOTrauma—Foot & Ankle
Module 2b: Hindfoot trauma—talar fractures
Stefan Rammelt, DE

2. Case description 15-year-old girl Fell from a horse
Presentation after 5 days

3. Questions
Diagnosis?
Management?
Approaches?
Timing?

4. Intraoperative images
Medial approach
Lateral approach

5. 2.5-year follow-up

6. 2.5-year follow-up

7. Take-home messages
CT scans are essential for planning approaches/reduction
Anatomical reduction of joint facets
Beware of lateral process fractures
Stable fixation (screws, minifragment plates)
Early motion (after soft-tissue consolidation)

8. References
Rammelt et al. Injury. 2009;40:120–135. Rammelt et al. Foot Ankle Clin. 2006;11:61–84, viii.
References:
Rammelt S, Zwipp H. Talar neck and body fractures. Injury Feb;40(2):120–135.
Rammelt S, Winkler J, Grass R, et al. Reconstruction after talar fractures. Foot Ankle Clin Mar;11(1):61–84, viii.