The medial talar neck is often somewhat comminuted and can be reduced by
using image intensification as a guide. For fixation, one should use a
fully-threaded cortex screw in a position fashion. A lag screw would displace
and shorten the medial side of the talar neck upon tightening.
This medial K-wire is often best placed through the medial portion of the talar
head articular cartilage allowing for countersinking of a future screw.