An unusual lesional association: Sagittal talar and medial malleoli fractures: A case report

Talar fracture are the second common after calcaneum in tarsal bones. High-energy trauma (road traffic accident and fall from height) involving forced dorsiflexion of the ankle cause fracture. More frequently, talus fracture involves neck and body is the least. The combination of talar body fracture and ankle dislocation, along with ipsilateral medial malleolar fracture, is exceptionally rare. Few cases have been reported till now that medial side talar body fractures, is typical of supination trauma (compression or shear type), whereas a lateral side fracture is due to pronation or pronationexternal rotation trauma (compression fracture). Talar body fractures have the highest incidence of posttraumatic osteoarthritis among talus fractures.

We report the case of 54-year-old male who sustained a fall from 4 meters. Radiological assessment revealed a Type 2 talar dome fracture and a C1 tibial plafond fracture. The patient underwent surgical fixation with Herbert and cancellous screws, followed by immobilization for 45 days