Tip for Talus Neck Fracture Reduction with 2 Joysticks [2:23]
Published on November 8, 2026
Tips & Tricks
Mandeep S. Dhillon and Siddhartha Sharma demonstrate the reduction of a displaced talar neck fracture with two 1.5 mm K-wires used as joysticks, one in the talar head close to the talonavicular joint and away from the fracture, and one in the talar body. Manipulating both wires corrects rotation and varus-valgus malalignment, but because comminution usually lies superomedially, compression can open the fracture on the lateral side, so lateral closure must be checked. The reduction is held with longitudinal K-wires before screw or plate fixation, and working through anteromedial and anterolateral incisions keeps the manoeuvre simple and helps preserve the vascularity of the talus. This video is part of the Tips and Tricks in Trauma Surgery series.
#TalarNeckFracture #TalusFracture #Joystick #KWire #FractureReduction #Malreduction #Talus #TipsAndTricks #OrthopedicTrauma
Mandeep S. Dhillon and Siddhartha Sharma demonstrate the reduction of a displaced talar neck fracture with two 1.5 mm K-wires used as joysticks, one in the talar head close to the talonavicular joint and away from the fracture, and one in the talar body. Manipulating both wires corrects rotation and varus-valgus malalignment, but because comminution usually lies superomedially, compression can open the fracture on the lateral side, so lateral closure must be checked. The reduction is held with longitudinal K-wires before screw or plate fixation, and working through anteromedial and anterolateral incisions keeps the manoeuvre simple and helps preserve the vascularity of the talus. This video is part of the Tips and Tricks in Trauma Surgery series.
#TalarNeckFracture #TalusFracture #Joystick #KWire #FractureReduction #Malreduction #Talus #TipsAndTricks #OrthopedicTrauma