Davos Courses

Executive Editor: Joseph Schatzker

Authors: Richard Buckley, Andrew Sands

Talus - Neck, displaced, ORIF - screw fixation

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After surgery, a posterior splint with the foot in neutral position is applied. Early range of motion of the ankle and subtalar joint is advised.
Weight bearing should be restricted for 6 weeks. Follow-up visits with x-rays should be at 2 and 6 weeks.
Range-of-motion exercises are important to commence as soon as they are tolerated in order to restore a good range of motion.
Radiography at 6 weeks will confirm whether healing has occurred. Once bony union has been achieved, graduated weight-bearing can commence.
Patients with talar neck fractures should not begin weight bearing as long as there is pain at the fracture site.

v1.0 2010-10-14