A case of the total talus dislocation

Nomura, Osamu; Murao, Ryoji; Kitahara, Hiroshi

doi:10.1002/jgf2.60

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…Most cases are open talus dislocations, while closed dislocations are rarely reported. [1][2][3][4] The most common pathogenesis of total talus dislocation is induced by the excessive subtalar supination or pronation when in a tibiotalar plantar flexion position. [5][6][7][8] Owing to the low incidence and high complication of this disease, the corresponding treatment strategies and recoveryoutcomes are variable in the literature.…”

Section: Introductionmentioning

confidence: 99%

“…Total talus dislocation is a rare injury that only accounts for 0.06% of all dislocations and 2%–10% of all talus injuries. Most cases are open talus dislocations, while closed dislocations are rarely reported 1–4 . The most common pathogenesis of total talus dislocation is induced by the excessive subtalar supination or pronation when in a tibiotalar plantar flexion position 5–8 .…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

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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Closed Pantalar Dislocations: Characteristics, Treatment Approaches, and Outcomes

Vosoughi

Vallier

2021

J Am Acad Orthop Surg

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Closed pantalar dislocation mainly occurs among male adults aged 20 to 45 years and is usually associated with high-energy trauma, mostly falls (50.0%). The talus dislocates anterolaterally in about 85% of cases. Pure pantalar dislocation is more common (54.7%) than cases with concomitant fractures (45.3%). Ankle fractures are the most common associated fractures, followed by fractures of the talar posterior process. Among 40 reported cases, 24 had successful closed reduction (60%), 11 had unsuccessful closed reduction (27.5%), and 5 underwent open reduction without attempting closed reduction (12.5%). The success rate for closed reduction of closed pantalar dislocation is 68.5% (24/35 cases). Post-traumatic arthrosis occurs in 32.3%. Osteonecrosis occurs less often than previously reported. Infection after closed reduction of pantalar dislocation is very rare except after open reduction and fixation for concomitant talar fractures. Conclusively, closed pantalar dislocations are very rare injuries and may portend a poor prognosis. Urgent talar relocation restores ankle and hindfoot anatomy and reduces pressure on surrounding soft tissues to optimize outcome. A closed reduction maneuver should be attempted initially, followed by urgent open reduction when the talus is not accurately reduced through closed means.

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A case of the total talus dislocation

Cited by 2 publications

References 3 publications

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

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

Closed Pantalar Dislocations: Characteristics, Treatment Approaches, and Outcomes

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