Talar injuries present a unique set of challenges because of the precarious blood supply and its special function. Restoring anatomy is extremely important but does not necessarily exclude poor outcome because avascular necrosis, malunion, and posttraumatic arthritis are common sequelae. The reconstructive options for avascular necrosis and posttraumatic arthritis are numerous. Anatomic reduction of varus malunions is an effective treatment in the face of normal adjacent joints.
Division of Lower Extremity Reconstruction and Oncology, Department of Orthopaedics, University of British Columbia, 1144 Burrard Street, Vancouver, BC, Canada V6N 2N4