Patient: Description of the condition (onset time, main symptoms, hospital visited, etc.): Hello, Dr. Wang, your love, medical skills and medical ethics have been well received! I also admire you from the bottom of my heart, and I would like to ask you a question, so I hope you can give me a reply in your busy schedule. On the afternoon of March 11 this year, I lost my center of gravity in a basketball game and landed on the outside of my foot, resulting in a talus fracture. I can move up and down a bit, but I can’t turn inside out. The doctor said my ankle joint is fine. The following is the report sheet of the third month of surgery. 16-layer spiral CT report sheet: the bone density of the right foot is reduced, dense shadows in the talus are visible, local bone discontinuity and low density areas are visible, and the talocalcaneal joint space is narrowed. To be honest, I am very reluctant to lose this much function in my ankle, but in your personal experience and opinion, is there any better orthopedic method other than fusion? I would appreciate your advice. The following photos are before, during, 14 days after, 25 days after, and 90 days after surgery, and one photo of the existing foot, which may not be very clear. You give a look, thanks again. Wang Aiguo: What we need to do now is to re-surgically reset the talus and the subtalar joint, otherwise, even fusing the subtalar joint will not help, and there may be talar necrosis. Surgery is recommended as soon as possible. Patient: Thank you, Dr. Wang. It has now been more than 3 months since my talus was operated on, and it should be healing from the deformity. What do you think should be done to reset the talus and the subtalar joint? That is, what is your general idea about the surgery, can you give some idea about it. Wang Aiguo: There is difficulty in surgery and the reset is difficult, but it must be surgically reset. Now the talar body fracture is almost stuck in the posterior superior tuberosity of the heel bone, and the talus cannot heal and is prone to talar necrosis and other conditions. Suggestion: Make a lateral incision, assisted by an anterolateral incision or medial incision if necessary, thoroughly loosen the contracture tissue, forcibly separate the talar body from the heel bone, and push the talar block to the front to reset, as long as the talus is reset in the subtalar joint will be reset. Patient: Thank you for your patience and advice, but what else do you think should be done at the fracture site other than repositioning? Thank you very much! I wish you good work and happiness every day! Wang Aiguo: As long as the bone is naturally aligned after repositioning, external fixation or hollow nail fixation can be chosen. Patient: Your advice is very rewarding, thank you very much! Wang Aiguo: You are welcome, and I wish you a speedy recovery!