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

作　　者：Furkan Yapici Mehmet Coskun Muhammet Coskun Arslan Erman Ulu Yunus Emre Akman 

机构地区：[1]Department of Orthopedics and Traumatology,Metin Sabancl Baltalimanl Bone and Joint Diseases Education and Research Hospital,Istanbul 34470,Turkey [2]Department of Orthopedics and Traumatology,Demiroglu Bilim University Faculty of Medicine,Istanbul 34387,Turkey

出　　处：《World Journal of Clinical Cases》2019年第14期1850-1856,共7页世界临床病例杂志

摘　　要：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.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.

关 键 词：TOTAL talar DISLOCATION Pan-talar DISLOCATION TALUS Case REPORT 

分 类 号：R[医药卫生]