Podium Presentation Title: Arthroscopic Reduction and Internal Fixation of Complex Talus Fractures, An All-Inside Technique

Talus fractures, although rare, can lead to devastating complications of posttraumatic osteoarthritis (PTA), mal-union, non-unions and avascular necrosis (AVN). The timing method fixation has been controversial, especially for open extruded fractures. purpose this study is present short term outcomes using a posterior talus arthroscopic reduction internal (TARIF) technique. We performed retrospective on 12 consecutive patients undergoing primary fractures from August 2020 January 2021. All cases were completely arthroscopically, utilizing approach 2-3 anterior 3.5mm cannulated, headless, compression screws placed . Patient demographics, fracture pattern, perioperative complications, radiographic findings collected. results evaluated by two musculoskeletal trained radiologist blinded the technique utilized. mean age our cohort was 37.3 years (range, 19-75), including 6 males females, with 58% nicotine. Motor vehicle accidents accounted injuries, followed falls gunshot wounds. Fracture location included 7 body 5 neck Hawkin’s type 2 (1), 3 (3), 4 (1). Five which had vascular tibial artery that underwent ligation debridement external fixation. Mean tourniquet time 87 minutes 0 – 88). Postoperatively, all articular surface restored within 2mm radiographs. No required antibiotics no follow up debridement’s performed. acute AVN or collapse recorded. Our short-term (6-13 months) indicate safe able restore surfaces. It also suggests an all-inside soft tissue preserving may reduce complications. Further needed evaluate PTA rates AVN.