Talus fractures are high-energy, unforgiving injuries where a precarious blood supply dictates outcomes. Master the Hawkins classification, talar blood supplyand urgent reduction protocols to prevent avascular necrosis. ⏱ Chapters 0:00 Intro 0:18 Essentials 0:58 Blood Supply 1:35 Classification 2:16 Imaging 3:02 Algorithm 3:42 Approach 4:28 Numbers 5:06 Clinical reasoning — Avascular 5:47 Clinical reasoning — Signs This in-depth OrthoVellum masterclass covers everything you need to know about managing talus fractures. We explore the unique ligamentous blood supply, the progressive AVN risks outlined in the Hawkins classificationand critical imaging findings like the Canale view and Hawkins sign. The video also breaks down surgical approaches, including the anteromedial workhorse incisionand provides clear protocols for emergency reduction and ORIF timing. 🦴 IN THIS VIDEO YOU'LL LEARN • How to apply the Hawkins classification to stratify avascular necrosis risk • The three main arteries supplying the talus and how displaced fractures disrupt them • Why urgent reduction within 6 to 12 hours is critical for skin and neurovascular safety • How to correctly perform and interpret the Canale view for talar neck fractures • The clinical significance of Hawkins sign at 6 to 8 weeks post-injury • Why the absence of Hawkins sign does not confirm avascular necrosis • When to use non-operative management versus ORIF with screws • How to execute the anteromedial approach and dual-incision strategy for fixation • The mechanisms of high-energy dorsiflexion injuries and open fracture management ⏱️ CHAPTERS 📌 KEY TAKEAWAYS ✔️ AVN risk is dictated by initial fracture displacement and the number of dislocated joints. ✔️ The artery of the tarsal canal is the dominant blood supply to the talar body. ✔️ Hawkins sign indicates revascularisation and makes AVN unlikely, but its absence requires further follow-up. ✔️ Hawkins III and IV fractures are surgical emergencies requiring immediate reduction. ✔️ Varus malunion is the most common deformity following talar neck fractures. 👩⚕️ WHO THIS IS FOR This masterclass is designed for orthopaedic trainees, medical students, junior doctorsand clinicians seeking a comprehensive refresher on foot and ankle trauma, as well as informed patients curious about complex orthopaedic injuries. 📚 RELATED TOPICS: Talar body fractures and the Sneppen classification · Snowboarder's fracture (lateral process of the talus) · Subtalar dislocation reduction techniques · Post-traumatic ankle arthritis and arthrodesis · Osteochondral lesions of the talar dome 🔗 More free orthopaedic teaching at Orthovellum.com — subscribe for weekly videos. 🎨 CREDITS • Original Orthovellum production. ⚠️ DISCLAIMER: Educational only — not individual medical advice. Always consult a qualified clinician for diagnosis and treatment. #orthopaedics #talusfracture #footandankle #hawkinsclassification #avascularnecrosis #orthopaedicsurgery #talarneckfracture #trauma #hawkinssign #footsurgery #orthoteaching #medicaleducation