Talar Neck Fractures

Have a high rate of avascular necrosis (AVN), nonunion, and arthritis.  Almost all require ORIF

• Hawkins 1:
  • 0- 13% AVN rate
  • non-displaced fracture
• Hawkins 2:
  • 20- 50% AVN rate
  • Displaced fracture with subluxation or dislocation of the posterior facet of the subtler joint. Subtalar joint usually dislocated posteriory
• Hawkins 3:
  • 20-100% AVN rate
  • Displaced fracture of the talar neck with dislocation of the body of the talus from both the subtalar joint and the ankle joint

References