A talar fracture that doesn't heal properly will create problems for you later. These may include not being able to use your foot normally, arthritis, chronic pain or collapse of the bone. Immediate first aid for a talar fracture is to apply a well-padded splint around the back of the foot and leg from the toe to the upper calf. Raise the foot above the level of the heart and apply ice for 20 minutes every hour or two until you can see a doctor. Don't put any weight on the foot.
In rare cases, if the bones haven't moved out of place, a talar fracture can be treated without surgery. You will have to wear a cast and avoid putting weight on your foot for six to eight weeks. After the cast has been removed, your doctor may give you exercises to restore the strength and range of motion of your foot and ankle.
Most talus fractures need surgery to avoid complications.
After surgery, your foot will be put in a cast for six to eight weeks. You will not be able to put any weight on the foot for at least three months.