Total Dislocation of the Talus

Nanjayan, Shashi Kumar; Broomfield, John; Johnson, B. Lamar; Patel, A.; Srivastava, S. P.; Sinha, A. K.

doi:10.1177/1938640013507105

Cited by 7 publications

(4 citation statements)

References 14 publications

(29 reference statements)

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“…In our report, the patient had his foot in supination on landing resulting in a closed anterolateral total talar dislocation (TTD). Most of these patients are treated by immediate closed reduction [15], however in our case this could not be achieved due to extensor digitorum brevis blocking the reduction.…”

Section: Discussionmentioning

confidence: 74%

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2019

J Musculoskelet Disord Treat

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Section: Discussionmentioning

confidence: 74%

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2019

J Musculoskelet Disord Treat

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“…However, the treatment methods reported for such injuries are controversial. 1,7,21,22 The most common treatments include closed reduction with external fixation, open reduction with internal fixation, talar excision, arthrodesis, etc. (Table 1).…”

Section: Discussionmentioning

confidence: 99%

“…These are of great significance for assessing damage and therefore guiding treatment and prognosis. However, the treatment methods reported for such injuries are controversial 1,7,21,22 . The most common treatments include closed reduction with external fixation, open reduction with internal fixation, talar excision, arthrodesis, etc.…”

Section: Discussionmentioning

confidence: 99%

Manual Reduction and Plaster External Fixation for the Treatment of Closed Total Talus Dislocation: Case Report and Literature Review

Zhao

Chen

et al. 2023

Orthopaedic Surgery

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Background Total dislocation of the talus from all its surrounding joints (talonavicular, tibiotalar, subtalar) is one kind of serious injury of the lower extremity with rare occurrence. It is usually accompanied by fractures of the talus and its periphery, as well as severe soft tissue injury, which is difficult to reset. Complications such as skin necrosis and infection are prone to occur in the early stage, and talus necrosis are prone to occur in the late stage, all of which aggravate disease severity and increase difficulties for its treatment. Case Presentation Herein, we reported a case of right talus total dislocation accompanied by medial malleolus fracture and posterior tubercle fracture caused by traffic accident. One hour after injury, the doctor tried to perform manual reduction but failed. Then, we successfully performed manual reduction and plaster external fixation on this patient under anesthesia 6 h after injury, followed by the oral administration of Chinese medicine for 3 months. Twenty months of follow‐up investigations revealed that no skin necrosis, talus dislocation, talus necrosis, or other complications occurred; no obvious joint degeneration was observed and the fractures of medial malleolus and talus healed well. MRI of ankle joint indicated the disappearance of ankle effusion caused by injury, and the bone marrow edema had also subsided at talus, medial malleolus, and lateral malleolus and calcaneus. Patient presented with no ligament relaxation, ankle instability, pain, swelling, or functional limitation of the injured limb. AOFAS score reached 100. Daily functions and recreation activities were recovered back to the normal level. Conclusion For patients with closed total dislocation of the talus, fine therapeutic effects can be achieved by early closed manual reduction and plaster external fixation under anesthesia, in combination with oral Chinese herbal medicine afterwards. It is worthy of reference for clinicians.

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“…Previous authors have suggested early total or partial talectomy 5 ; however, subsequent research has shown that such aggressive measures are unneeded. 1 - 3 , 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 The present study chronicles the authors' experience treating a checkrein deformity that resulted from a closed pantalar dislocation. To our knowledge, this study is the first to report such a deformity occurring after this injury.…”

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confidence: 81%

Closed Pantalar Dislocation With Checkrein Deformity: A Unique Case Report and Literature Review

Speer¹,

Pike²

2021

JAAOS Glob Res Rev

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Closed pantalar dislocations are a rare variant of an uncommon injury. Pantalar dislocations are typically caused by high-energy trauma resulting in an open injury with associated fracture of the articulating bones. Given its obscurity, the literature on closed pantalar dislocations is scarce, and no standard treatment protocol has been accepted. This case report chronicles the treatment and outcome of a 29-year-old man who presented with a checkrein deformity of all digits after a closed pantalar dislocation with 6-month follow-up. A comprehensive literature review found 28 articles representing 39 patients with closed pantalar dislocations without talar neck or body fractures. Roughly equal numbers of closed and open reduction techniques were performed with avascular necrosis occurring in 7 of 36 patients. Although outcome measures and follow-up were variable, what can be considered a suitable outcome was seen in approximately 83% of patients, with only 3 of 35 requiring a secondary operation. Long-term studies with well-defined outcome measures are needed to adequately predict the prognosis of this rare injury and efficacy of treatment protocols.

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Total Dislocation of the Talus

Cited by 7 publications

References 14 publications

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Manual Reduction and Plaster External Fixation for the Treatment of Closed Total Talus Dislocation: Case Report and Literature Review

Closed Pantalar Dislocation With Checkrein Deformity: A Unique Case Report and Literature Review

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