Open Reduction-Internal Fixation of a Talar Body Fracture via Posterior Tibial Malleolar Osteotomy: A Case Report

Posterior talar fractures are rare and usually represent an isolated fracture of either the medial or lateral tubercle. Posterior talar body fractures can be difficult to fixate and reduce secondary to limited exposure. This single case study demonstrates an unusual posterior body talar fracture that was encroaching on the neurovascular structures. Because of the unusual fracture location and pattern, a posterior approach using a posterior malleolar osteotomy was used for exposure and open reduction-internal fixation (ORIF). To the best of the author's knowledge, this is the first report of a posterior malleolar osteotomy being used to assist talar fracture reduction and fixation. The purpose of this case report is to demonstrate this unusual talar body fracture and the utility of this posterior osteotomy approach. Level of Evidence: 4