The most frequent fracture of the tarsal bones, is the calcaneal fracture, of which 75% are intra-articular.
It is usually a consequence of a fall from high height on the heels, pushing the calcaneal bone through the talus, which originates the characteristic deformity of these fractures: varus, shortening, widening and loss of height.
Careful planning and correct surgical timing are fundamental for a good outcome and to avoid complications.
In this case, a double minimally invasive approach was chosen: the sinus tarsi (lateral) and posteromedial, which allowed an excellent reduction and stability of the medial column and direct observation of the articular surface and lateral wall, enabling early mobilization and weight bearing.
The talus fractures are rare and are due to high energy trauma.
When these fracture occur in the body or neck, such as the present case, it represent a serious injury that warrants surgical treatment.
The sucess in the treatment demands a deep knowledge of the talar arterial irrigation and extreme preservation of it.
The present case represents a severe injury, with multiple fragments, some with complete loss of their arterial vessels. Despite all, an anatomical bone healing with excelent functional recovery was achieved in this case.
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