Background: Talus fractures are rare, accounting for <1% of all fractures, but they carry significant risk of long-term morbidity due to unique anatomy and vascular supply. Objective: To evaluate the epidemiology, fracture patterns, mechanisms of injury, and treatment outcomes of talus fractures in a tertiary care trauma center. Methods: A retrospective descriptive study of all adult patients presenting with talus fractures from February 2019 to July 2021 was conducted. Cases were classified according to AO/OTA classification. Descriptive and inferential statistics were applied using SPSS v24. Results: Most injuries occurred in young males (74%) following road traffic accidents (58%). Talar neck fractures were most common (42%). Open fractures constituted 18% of cases. Associated calcaneal and tibial injuries were observed in 24%. Open reduction and internal fixation (ORIF) was the preferred
treatment (63%). Complications included avascular necrosis (12%) and post-traumatic arthritis (9%). Conclusion: Talus fractures, though rare, often result from highenergy trauma and carry significant morbidity. Timely diagnosis, accurate classification, and early surgical management are critical in minimizing complications.