Open reduction of a total talar dislocation: A case report and review of the literature

YAPICI F., Coskun M., Arslan M. C., Ulu E., Akman Y. E.

World Journal of Clinical Cases, cilt.7, sa.14, ss.1850-1856, 2019 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 7 Sayı: 14
  • Basım Tarihi: 2019
  • Doi Numarası: 10.12998/wjcc.v7.i14.1850
  • Dergi Adı: World Journal of Clinical Cases
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.1850-1856
  • Anahtar Kelimeler: Case report, Pan-talar dislocation, Talus, Total talar dislocation
  • Erzincan Binali Yıldırım Üniversitesi Adresli: Evet

Özet

© 2019 Baishideng Publishing Group Inc.BACKGROUND Total talar dislocation (TTD) is very uncommon for many orthopedic surgeons and emergency/trauma specialists. Scarce cases of TTD have been reported, mainly in the form of open fracture-dislocation injury. CASE SUMMARY We report a very rare injury of closed TTD with a follow-up period of 36 mo. Initial closed reduction was not successful because of a fractured highly unstable medial malleolus displaced into the ankle mortise, blocking the relocation of the talus. The patient was able to walk pain-free after the 3rd month of surgery. At the 36-mo follow-up, there were 10 degrees of flexion loss and 10 degrees of extension loss in the tibiotalar joint. Furthermore, 5 degrees of subtalar joint inversion-eversion loss was present. CONCLUSION Open reduction should be performed for closed TTDs unless closed reduction is successful.