Tip for Talus Neck Fracture Reduction with 1 Joystick [1:51]

Published on November 8, 2026
Tips & Tricks 

Mandeep S. Dhillon and Siddhartha Sharma show how a single transfixing K-wire can be used as a joystick to reduce a displaced talar neck fracture. Through an anteromedial and an anterolateral incision, a 1.5 mm K-wire is driven from the medial side of the talar head out laterally. Pulling on both ends gives traction in comminuted fractures, pulling the medial end distally corrects varus and moving one end up or down controls rotation, before longitudinal K-wires hold the reduction. This video is part of the Tips and Tricks in Trauma Surgery series. 

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Faculty

Mandeep S. Dhillon
Siddhartha Sharma