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The POSH - Pondy Ortho Speciality Hospital

Pondy Ortho Speciality Hospital

NABH
🦶 Ankle Surgery · Case Report

Talar FractureHerbert Screw Fixation

A complex talar neck fracture with avascular necrosis risk — managed at The POSH - Pondy Ortho Speciality Hospital, Pondicherry with precise Herbert screw fixation. Full ankle function restored.

🦶 View Ankle Surgery Case
🦶 Talar Neck Fracture ⚠️ AVN Risk 🔩 Herbert Screw ✅ Full Recovery
🔩
2
Screws Fixed
0%
AVN
💪
100%
Function
Talar Fracture Herbert Screw Fixation ANKLE SURGERY
0
Herbert Screws
0
AVN Cases
0
Ankle Function
0
Weeks Recovery
🦶

The Injury

Clinical Presentation

A patient presented to The POSH - Pondy Ortho Speciality Hospital, Pondicherry with a high-energy talar neck fracture — one of the most challenging ankle injuries in orthopaedics. The talus has a unique, precarious blood supply, making displaced fractures extremely prone to avascular necrosis (AVN), a devastating complication where the bone dies due to disrupted circulation.

Urgent surgical intervention with precise Herbert screw fixation was planned to achieve anatomical reduction, restore interfragmentary compression, and — critically — preserve the blood supply to prevent AVN. Intraoperative C-arm guidance ensured millimetre-precise screw placement.

🦶
Talar Neck FractureHigh-energy fracture with disrupted blood supply to the talus bone
⚠️
AVN RiskAvascular necrosis risk requiring urgent precise fixation
🔩
Herbert ScrewHeadless compression screw for interfragmentary compression
🏃
Mobility PreservedFull ankle range of motion and weight-bearing restored

"Talar fractures carry the highest AVN risk in orthopaedics. Our precise Herbert screw fixation preserved the blood supply and gave this patient their ankle function back."

Surgical Journey

Step-by-Step Ankle Surgery Protocol

Clinical Timeline
Ankle
Surgery
01
🩻
Diagnosis & X-ray CT scan and X-ray confirming talar neck fracture with displacement
02
📋
Surgical Planning Pre-op planning for screw trajectory to avoid neurovascular structures
03
🔩
Herbert Screw Precise headless screw insertion with intraoperative C-arm guidance
04
Fixation Verified Post-op imaging confirming anatomical reduction and screw position
05
🏥
Post-op Care Immobilization, wound care, and early mobilization protocol
06
🏃
Rehabilitation Progressive weight-bearing and physiotherapy to full recovery
📸 Photo Highlights

Ankle Surgery — Visual Journey

Hover any strip to pause · Images from the actual case

Talar fracture case Herbert screw fixation Post-op imaging Recovery
Outcome

Outcome & Recovery

Excellent Result
💚

"Talar fractures carry the highest risk of avascular necrosis in orthopaedics. Our precise Herbert screw fixation preserved the blood supply, achieved anatomical reduction, and restored complete ankle function — within weeks."

Post-operative imaging confirmed perfect anatomical reduction with ideal screw position. Serial follow-up showed no signs of avascular necrosis — the critical concern in talar fractures. The patient completed physiotherapy and achieved full ankle range of motion and independent weight-bearing within six weeks.

🦶

Fracture Healed

Talar neck united with anatomical alignment

🔩

Screws Stable

Herbert screws maintaining compression

🏃

Walking Restored

Full weight-bearing ankle function

💪

No AVN

Avascular necrosis successfully prevented

👨‍⚕️

Our Medical Team

Ankle Surgery Specialists
👨‍⚕️

Dr. Veerappan

Chief Orthopaedic & Foot-Ankle Surgeon

👨‍⚕️

Dr. Dilip

Senior Anaesthesiologist

👨‍⚕️

Dr. Murugaraj

Chief Physiotherapist

👨‍⚕️

Surgical Team

Dedicated Ankle & Nursing Staff

🦶 Ankle Fracture Expert Care

Talar Fracture.
Perfectly Fixed.

Talar fractures carry the highest risk of avascular necrosis in orthopaedics. Our precise Herbert screw fixation technique preserved the blood supply, achieved anatomical reduction, and restored complete ankle function — within weeks.

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