Although talus fractures are infrequent injuries, they are the second most common fractures among all tarsal bone fractures. Currently, there is limited data on the treatment strategies of talus fractures in the literature. The integrity of the talus is of utmost importance for foot and ankle function due to the functional relationship between the talus and tibiotalar, subtalar and transverse talar joints. Nondisplaced fractures have usually favorable outcomes, whilst the outcomes of displaced fractures are related to the degree of initial displacement. The current treatment modality for all displaced fractures is open reduction and internal fixation. Avascular necrosis and malunion are common complications and should be minimized by precise reduction. The propensity of varus malunion following medial comminuted neck fractures of talus should be always considered. Tibiotalar and subtalar joint osteoarthritis are inevitable, unless accurate anatomical relation is restored.