

Pondy Ortho Speciality Hospital

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.
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ANKLE SURGERY
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 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."
Hover any strip to pause · Images from the actual case
"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.
Talar neck united with anatomical alignment
Herbert screws maintaining compression
Full weight-bearing ankle function
Avascular necrosis successfully prevented
Chief Orthopaedic & Foot-Ankle Surgeon
Senior Anaesthesiologist
Chief Physiotherapist
Dedicated Ankle & Nursing Staff
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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