Background: Talus fractures are rare, accounting for <1% of all fractures, but they carry significant risk of long-term morbidity
due to unique anatomy and vascular supply.
Objective: To evaluate the epidemiology, fracture patterns, mechanisms of injury, and treatment outcomes of talus fractures
in a tertiary care trauma center.
Methods: A retrospective descriptive study of all adult patients presenting with talus fractures from February 2019 to July 2021
was conducted. Cases were classified according to AO/OTA classification. Descriptive and inferential statistics were applied
using SPSS v24.
Results: Most injuries occurred in young males (74%) following road traffic accidents (58%). Talar neck fractures were most
common (42%). Open fractures constituted 18% of cases. Associated calcaneal and tibial injuries were observed in 24%.
Open reduction and internal fixation (ORIF) was the preferred treatment (63%). Complications included avascular necrosis (12%)
and post-traumatic arthritis (9%).
Conclusion: Talus fractures, though rare, often result from high energy trauma and carry significant morbidity. Timely diagnosis,
accurate classification, and early surgical management are critical in minimizing complications.
Keywords: Talus fractures, Epidemiology, Trauma, ORIF, Avascular
necrosis