At present, there are two main clinical treatments for right talus ischemic necrosis, i.e. surgical treatment and conservative treatment. 1. Surgical treatment: most patients need surgical treatment, which includes core decompression, bone flap transplantation with vascularized tip, tibio-talus fusion, tibio-heel fusion after talus resection, talar replacement and total ankle replacement, etc. Conservative treatment: conservative treatment mainly includes rest, braking, physiotherapy, medication and hyperbaric oxygenation. 2. Conservative treatment: Conservative treatment mainly includes rest, braking, physical therapy, medication and hyperbaric oxygen therapy, etc. Conservative treatment has limited therapeutic effect and is mainly for patients with early ischemic necrosis. Drugs are mainly used to relieve symptoms with non-steroidal anti-inflammatory and analgesic drugs such as ibuprofen. It is recommended to go to a regular hospital in time, assessed by a specialist, and make relevant treatment plans to avoid delaying the condition and causing problems to the patient’s life, and do not blindly use drugs.