Our results in the treatment of tarsal dislocations

Abstract

Introduction/Objective. Tarsal dislocations are rare injuries. Usually, they are caused by high energy trauma. Depending on the type of dislocation, surgical treatment or closed reduction is used. In this study, 13 patients are presented with the aim to analyze the type of feet dislocations, their treatment and outcome. Methods. Tarsal dislocation cases treated in the University Hospital in Foca were analyzed during the period from 2009 to 2016. All the cases were clinically and radiographically examined and monitored on control examinations at least three years. The mobility of joints was measured and pain existence was estimated by visual analog scale. Results. All 13 patients with tarsal dislocation were male. Four patients were treated surgically (two patients with tarsometatarsal and one with cuboid and navicular dislocation) and other patients had non-surgical treatment. In ten patients, an excellent functional result has been achieved and in two patients with tarsometatarsal dislocation a good functional result. In one patient with cuboidal dislocation satisfactory functional result has been achieved. Conclusion. Out of the 13 reviewed patients with tarsal dislocations, functional results were rated excellent in ten dislocations, good in two, and satisfactory in one. Diagnosis and treatment of foot dislocations are demanding, but with adequate treatment of these injuries, a favorable functional outcome can be expected.