A and B, Type III talar neck fracture with posteromedial displacement in 9-year-old child. C, After closed reduction and cast immobilization. D and E, At 9 months after injury, there is evidence of healing but osteonecrosis of talus with sclerotic and cystic changes is evident. F and G, At 6 years after injury, physes are still open and some healing of osteonecrosis of talus has occurred; patient has no symptoms.