Talar Dislocation: Is Reimplantation a Safe Procedure?

Retrospective analysis of treatment strategies and clinical outcome of isolated talar dislocations

“…For these injuries, worse outcomes compared to isolated subtalar have been reported 4) . One reason for this observation could be that these injuries may more frequently be the result from high-energy trauma and therefore additional injuries of the foot and ankle joints are more often 6) . In this study, of the three patients with a Luxatio tali totalis, one patient jumped from the fifth story trying to commit suicide, one patient sustained a high-energy motorcycle accident and one patient sustained a high-energy supination trauma during a soccer match.…”

“…The canalis tarsi artery, which originates from the posterior tibial artery, is the most important artery for the talus and an injury to this blood supply can lead to avascular necrosis and therefore to posttraumatic osteoarthritis of the subtalar joint 4,6,17) . In this study, a case was presented in which an open subtalar dislocation e without talar fractures e lead to a rupture of the posterior tibial artery and consequently to osteoarthritis of the subtalar joint, which had to be fused (Fig.…”

“…In the literature, the overall outcome of talar dislocations has been reported to be relatively good, although both the reported outcome measures as well as the outcome ranges are quite wide. Several studies assessed the outcome using the American Orthopaedic Foot and Ankle Society (AOFAS) score ranging from 45 points to 100 points and subtalar dislocations were associated with higher (better) scores than Luxatio tali totalis 6,10,15,18) . In contrast, this study reported better outcomes for Luxatio tali totalis compared to Luxatio pedis sub talo e these results might however be biased due to the small number of patients.…”

“…In total, the outcome of eleven out of 18 patients was assessed using the FFI. such an injury also depends on the time point of the follow-up examination and follow-up times, too, had a broad time span from ten months to more than six years 4,6) . This study could demonstrate that the overall outcome, assessed using the FFI, was relatively good and merely two patients required subtalar fusion due to osteoarthritis.…”

Will you review this patient with an open ankle injury?

“…Injury, usually high mechanism injuries such as RTCs, can lead to dislocation of the talus with or without fracture. In this image we see the talus has been displaced anteriorly and has been dislocated from the tibiotalar, talocalcaneal and talonavicular joints, that is, total talar dislocation (answer C) 1 Figure 2. compares this injury with normal antatomy.…”