Presentation
Motor vehicle collision. Tender and swollen left ankle.
Patient Data
Comminuted talar fracture with subluxation.
There has been interval incomplete reduction of the comminuted talar fracture. There is intra-articular (ankle and subtalar joint) extension and a wedge shaped fragment lying within the talocalcaneal joint space. The posterior talar fragment remains dorsally displaced and the talonavicular joint is anteriorly subluxed.
There has been open reduction internal fixation of the talus. There has been no significant interval change.
Case Discussion
Talar head is at risk of AVN if there is a fracture through the talar neck.