Treatment

Technique: non-weight-bearing, short leg cast usually for 6–8 weeks (talar neck fractures up to 12 weeks)

Indications: stable or nondisplaced fractures

Other

• Pain management (NSAIDs, opioids, local anesthetics)

• Physical therapy

Procedure: open reduction and internal fixation

Indications

• Open fractures

• Displaced fractures (> 2 mm)

• Comminuted fractures

• Neurovascular injury

• Associated dislocation

Avascular necrosis

Posttraumatic arthritis (e.g., talonavicular, subtalar arthritis)

Delayed union, malunion, nonunion

Chronic pain

Infection