Halil KARACA, Ahmet Selami KAYA, Kürşad AYTEKİN
Acta Orthopaedica et Traumatologica Turcica - 2026;60(3):1-5
Talus fractures are usually intra-articular fractures. Anatomical reduction and internal fixation are the main aims of surgical treatment. Different osteotomies have been exposed to reach the middle third and posterior third of the talus. Medial malleolar osteotomy is preferred for fractures involving the medial region of the talus, while lateral malleolar osteotomy is preferred for fractures involving the lateral region. For fractures involving both regions, a combined osteotomy is performed. In this case, there was a fracture in the middle and posterior third of the talar body. A triplanar posterior malleolar osteotomy was performed to achieve anatomical reduction and screw fixation at the appropriate angle. With this osteotomy, the fracture fragments were exposed, anatomically reduced, and fixed with screws at the appropriate angle. The technique provides adequate surgical exposure of the middle and posterior third of the talar body, enhances the quality of reduction, and facilitates optimal angulation for fixation. This technique offers an alternative option to osteotomies used in the surgical treatment of talus fractures.
