Major Open Injuries of the Talus

Marsh, J. Lawrence; Saltzman, Charles L.; Iverson, Michael; Shapiro, Daniel S.

doi:10.1097/00005131-199505000-00002

Cited by 105 publications

(72 citation statements)

References 0 publications

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“…The management of this injury is controversial [1,2,3,4,5,7,8,11,12,13]. Treatment options include (1) reimplantation of the talus; (2) talectomy; (3) talectomy with subsequent salvage procedure (i.e.…”

Section: Discussionmentioning

confidence: 99%

Pantalar Dislocation without Extrusion

Duncan¹,

Wright²,

Lawrence³

2011

jot

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Open hindfoot injuries result from high-energy trauma and include soft tissue disruption, joint dislocations, with possible chondral and osseous injuries. The term "total talus dislocation", is an uncommon open hindfoot injury associated with talar extrusion. However, a total talus dislocation without extrusion has not been reported. This case presents an open hindfoot injury with dislocations of the tibiotalar, subtalar, and talonavicular joints without total extrusion of the talus. In our opinion, such injuries should be termed "pantalar dislocation without extrusion." With this injury subtype, the talus should be preserved, if possible, despite its extensive soft tissue disruptions. Our approach contradicts previous total talar treatment recommendations for talar excision. Continued longterm follow-up is necessary to ensure that post-traumatic problems involving the talar dome do not arise.

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Section: Discussionmentioning

confidence: 99%

Pantalar Dislocation without Extrusion

Duncan¹,

Wright²,

Lawrence³

2011

jot

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“…Treating osteomyelitis can be difficult, especially in the setting of AVN where it is difficult to deliver antibiotics adequately. Marsh et al [22] also investigated open talus fractures. In their series of open talar fracture dislocations, 38% of the patients developed an infection.…”

Section: Open Talus Fracturesmentioning

confidence: 99%

Talar neck fractures

Juliano

Dabbah

Harris

2004

Foot and Ankle Clinics

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“…9 They observed an overall infection rate of 38%, and the authors noted that greater soft-tissue injury was associated with an increased prevalence of infection. Subsequently, Smith et al reported only one infection in the initial period of hospitalisation in 27 open talar extrusions.…”

Section: Discussionmentioning

confidence: 97%