Talus fracture is an unusual injury. But the treatment of the fracture is difficult and it is said that the prognosis is poor, because of the complication of avascular necrosis and osteoarthritis of the ankle and subtalar joints. We have reviewed 27 tales fractures which were treated during the year 1970 to 1984 at Kyushu Rosai Hospital. From our results, we recommend that the fracture-dislocation of the talus be treated by anatomical reduction and internal fixation. Following good anatomical reduction of a fracture-dislocation of the talus associated with avascular necrosis, a result is not necessarily poor, if a collapse is prevented by a regular check of X-ray view.
