S3.E30 - Talus More: Management of Talus Fractures with Dr. Kwasi Kwaadu and Dr. Jordan Sisto

GaitKeepers Journal Club on LERexpoMost talus fractures are more complicated than they look—and missing subtle nuances can cost you years of follow-up surgeries. But what if you could master the foundational principles that keep these injuries from spiraling into AVN or chronic instability? In this episode, Dr. Jeff Dikis sits down with top foot and ankle specialists Jordan Sisto and Kwasi Kwaadu to unlock the secrets of managing these high-impact, high-velocity injuries. Discover why the anatomy of the talus remains unchanged, yet treatment techniques continue to evolve with innovations like headless screws and anatomic plates. You'll learn how micro adjustments—like choosing one vs. two incisions, proper splint positions, and the importance of maintaining height and length—can influence your outcomes dramatically. We'll also break down crucial strategies such as damage control , the timing of CT scans, and techniques for managing bone loss during complex reductions. You'll hear firsthand insights on when to operate on minimally displaced fractures, how to prevent malreductions, and why a dual-incision approach often provides the best visualization for optimal fixation. We dig into the latest fixation options—from selecting screw sizes and materials to contouring plates for perfect fit—and share practical tips that avoid common pitfalls. Plus, get expert advice on preventing AVN, monitoring healing, and the role of vitamin D supplementation in post-op recovery.