Aims: Talus fracture is not so popular and their late clinical results are not clear. We followed fractures of the talus more than ten years. Method: A total of two hundred twenty major talus fractures and fracture-dislocations were treated from 1971 to 1998 in Keio University Hospital and its participant hospitals. Among one hundred twelve cases passed more than ten years after injury, eighty-six cases could be followed and were evaluated clinically and analysed on the basis of their roentgen graphic appearances. The mean age at the trauma was 26.4 years (from 3 to 72). The mean follow-up period was 16.2 years (from 10 to 28). Seventy cases were male and sixteen were female. The affected side was left in thirty-þve cases, right in forty-nine and bilateral tow. Open fracture occurred in seventeen feet, fracture-dislocation in forty-six feet. Neck fracture occurred in forty-two feet and body fracture in twenty-seven feet. Results: Pain in walking was dominant not only in cases of aseptic necrosis but also in cases passed long term after trauma, senile cases, cases of open fracture and cases complicated with dislocation and/or other fracture. Deformity was dominant in young cases but pain may not be parallel with deformity in young patients. Pain may be parallel with the limitation of joint movement. Spar formation was seen at the anterior edge of tibia, the top of lateral process and the dorsum of the neck. Totally, evaluating in the criteria of Hawkins the result was excellent in twenty cases, good in forty-three, fair in eighty and poor in þve. Conclusion: Clinical results were better than that expected from radiographic þndings except the cases of aseptic necrosis. The results of children were better than that of adults in spite of their deformity.