case_images: PMC10860692_01
case_images: Initial radiographic evaluation depicts a talar neck fracture - Anteroposterior (AP) and Lateral (L) View
case_images: cureus-0016-00000052206-i01.jpg
case_images: PMC10860692_01_cureus-0016-00000052206-i01.jpg
case_images: FIG1
case_images: A 24-year-old patient presented with a comminuted talar fracture-dislocation accompanied by a navicular fracture due to a motor vehicle accident (Figure 1).
case_images: Initial surgery. Internal fixation with two cannulated screws and external fixation Delta frame for additional stability
case_images: cureus-0016-00000052206-i02.jpg
case_images: PMC10860692_01_cureus-0016-00000052206-i02.jpg
case_images: FIG2
case_images: A Delta frame external fixator was additionally used for extra stability (Figure 2).
case_images: Three months after the initial surgery. The external fixation device has been removed. Anteroposterior (AP) and lateral (L) radiograph showing varus malunion
case_images: cureus-0016-00000052206-i03.jpg
case_images: PMC10860692_01_cureus-0016-00000052206-i03.jpg
case_images: FIG3
case_images: Three months postoperatively, although the patient walked without crutches, a progressive deformity in a cavovarus position had developed (Figure 3).
case_images: Intraoperative view of the corrective osteotomy. A titanium plate stabilizes the fixation. Tricortical bone graft from the ilium (arrow) restores the length of the talus
case_images: cureus-0016-00000052206-i04.jpg
case_images: PMC10860692_01_cureus-0016-00000052206-i04.jpg
case_images: FIG4
case_images: Following that, a specific, titanium, 4-hole plate was placed to secure the construction (Figure 4).
case_images: Final radiological picture (left side) and clinical picture of the foot (right side) 20 days after the corrective osteotomy of the talus. No cavovarus deformity exists.
case_images: cureus-0016-00000052206-i05.jpg
case_images: PMC10860692_01_cureus-0016-00000052206-i05.jpg
case_images: FIG5
case_images: Twelve weeks postoperatively, the fracture had fully healed, and the patient started walking normally and returned progressively to his daily activities (Figure 5).