Objective: To summarize the experience in treating talar neck fractures.
Methods: 89 patients with talar neck fracture were followed up, and classified by modified Hawkin's classification. Three patients of type I were treated with plastic cast and K-wire, 53 of type II with open reduction and internal fixation (ORIF), close reduction and plaster, fusion, and 29 of type III and 4 of type IV with joint fusion and ORIF.
Results: Mean follow-up was 5.18 years. Evaluation by Hawkin's criteria, showed 22 patients were excellent, 16 good; 28 fair and 19 poor results respectively.
Conclusions: Emergency operation with ORIF should be performed in type II and type III talar neck fracture. Medial malleolus osteotomy is recommended when medial approach is used.