Open Fracture Dislocation of the Talus With Total Extrusion

Patil, Sampat Shivajirao Dumbre; Abane, Sachin Ramdas; Patil, Vaishali Sampat Dumbre; Nande, Prasanna Narendra

doi:10.1177/1938640014528040

Cited by 16 publications

(9 citation statements)

References 10 publications

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“…While its true incidence is unknown, it is estimated at approximately 0.06% of all dislocations and 2% of all talar injuries [5]. Likewise, complete talar body extrusion is seldom mentioned in literature [2].…”

Section: Discussionmentioning

confidence: 99%

“…While in the past, talectomy with tibialcalcaneal arthrodesis was the mainstay of treatment [8], many authors recently reported reimplantation as a viable option, with successful results. This technique is favored because it preserves joint height and ankle biomechanics [2,9].…”

Section: Discussionmentioning

confidence: 99%

“…Regardless of the treatment choice, when facing an open pantalar dislocation, commonly accompanied by an anterolateral wound of the ankle, early surgical debridement is the most important initial step [2][3][4][5][6][7][8][9]. The use of an external fixator to stabilize the joint while waiting for definitive treatment could also decrease wound complications and allow proper wound care [3,4].…”

Section: Discussionmentioning

confidence: 99%

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Complete Extrusion of Talar Body Associated With Ipsilateral Floating Knee

Moussa

Raad

Ghanem³

et al. 2020

Cureus

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Talar injuries represent serious medico-surgical conditions because of the involvement of the talus in multiple articulations, such as the subtalar, the transverse talar, and the ankle joint complex. Its complete detachment from the surrounding ligaments and bone is known as talar extrusion, a very rare injury with a complicated treatment course. We report a case of a 43-year-old female patient presenting with a non-retrieved complete left talar body extrusion associated with a floating knee, manifested by left tibial shaft fracture and left supracondylar femoral fracture. The patient was treated with open reduction and internal fixation for the floating knee and a manually shaped talar cement spacer with staged tibiocalcaneal arthrodesis for the ankle. The patient was monitored over a six-year period. This case is reported for the extreme rarity of lost open talar body extrusion, and its problematic treatment in the absence of clear guidelines, especially with the presence of multiple concomitant ipsilateral fractures of the limb, such as floating knee, as in this case.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Complete Extrusion of Talar Body Associated With Ipsilateral Floating Knee

Moussa

Raad

Ghanem³

et al. 2020

Cureus

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“…Total talus extrusion without fracture is an extremely rare and potentially debilitating injury. Few reports have described it [ 1 , 6 , 11 – 13 ]. Despite the absence of a congruent evidence-based strategy, immediate reimplantation has been considered the first-line treatment.…”

Section: Discussionmentioning

confidence: 99%

Six-year survival of reimplanted talus after isolated total talar extrusion: a case report

Kwak

Heo²,

Jung

2017

J Med Case Reports

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BackgroundOpen total extrusion of the talus without concomitant fracture is an extremely rare injury. We present 6-year follow-up data of a patient treated using a temporary spanning external fixator and less invasive single K-wire fixation.Case presentationA 55-year-old Asian man who had a totally extruded talus without fracture underwent immediate reimplantation surgery. A spanning external fixator with single antegrade K-wire fixation was applied to maintain the reimplanted talus. During 6 years of follow-up, he could walk without aids and could squat, corresponding to an American Orthopaedic Foot and Ankle Society score of 85. We found that the suspect lesion that was evident at 6 months after surgery had disappeared at 12 months postoperatively on the basis of sequential follow-up magnetic resonance imaging. There was no evidence of osteonecrosis of the dislocated talus at the final follow-up.ConclusionsIn patients with a totally extruded talus, a surgical strategy including immediate reimplantation of the talus and a temporary spanning fixator with single K-wire fixation might be useful to allow early mobilization around the ankle joint and to prevent additional damage of the foot without significant complications.

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“…Until now, there are no consensus about the treatment, and talectomy with primary tibiocalcaneal arthrodesis was the approved treatment [ 4 ]. Recently, immediate reimplantation of total extruded talus has been reported in literature with favorable outcomes and has been more recommended as safest and more appropriate procedure [ 5 ]. Here, we present the case of a 67-year-old woman who experienced an open total traumatic extrusion of the talus that we treated with an urgent debridement, a talus primary reimplantation and a lesser invasive K-wire fixation.…”

Section: Introductionmentioning

confidence: 99%