Simultaneous Bilateral Fracture Dislocation of the Talus: A Case Report

TarazJamshidi, Mohammad; Shapari, Omid; Shiravani, Reza; Moalemi, Saeed; Birjandinejad, Ali

doi:10.5812/traumamon.11228

Cited by 5 publications

(7 citation statements)

References 14 publications

(20 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Bilateral simultaneous talar fracture dislocation is very rare and only two such reports are mentioned in the English literature 2 3. Sayegh et al 3 in 2009 described bilateral talar body fracture dislocation in a 29-year-old patient who was treated immediately.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Bilateral talus fracture dislocation: is avascular necrosis inevitable?

Arockiaraj

2014

BMJ Case Reports

View full text Add to dashboard Cite

SUMMARYBilateral simultaneous fracture dislocation of the talus is a very rare injury. It occurs usually following high-velocity injuries. We report a 45-year-old man who presented with bilateral talar fracture dislocation following a heavy stone falling on him. On his right side, he had open talus dislocation with lateral process fracture and on his left side he had closed talar neck fracture dislocation. He underwent immediate debridement and external fixator application for his right side and open reduction and internal fixation for his left talus. At the end of 34 months' follow-up, he was able to walk up to 2 km without pain. His ankle range of movements were restricted bilaterally. Radiographs revealed bilateral avascular necrosis with right side showing complete collapse. We present this case for its rare presentation of bilateral talar fracture dislocation with bilateral avascular necrosis with sequential radiographs. BACKGROUND

show abstract

Section: Discussionmentioning

confidence: 99%

“…At 28 months’ follow-up, the patient had post-traumatic arthritis on both sides with no signs of AVN. In 2013, Taraz-Jamshidi et al 2 reported a 25-year-old man with bilateral open fracture dislocation of the talus. At 2 years’ follow-up, he had developed AVN on one side.…”

Section: Discussionmentioning

confidence: 99%

Bilateral talus fracture dislocation: is avascular necrosis inevitable?

Arockiaraj

2014

BMJ Case Reports

View full text Add to dashboard Cite

show abstract

“…Talar neck and body fractures are rare; they account for 0.1% of all fractures, 9 2% of all lower limb injuries, and 5% to 7% of all foot injuries. 14 Generally, fracture and dislocation of the talus usually occur as a result of high-energy injuries, 8 and they are associated with a high rate of osteonecrosis. Studies have shown that the development of osteonecrosis is more related to factors associated with the degree of initial injury, including initial displacement, comminution, and open fracture.…”

Section: Discussionmentioning

confidence: 99%

Ceramic Artificial Talus as the Initial Treatment for Comminuted Talar Fractures

et al. 2019

View full text Add to dashboard Cite

Background: Comminuted talar fractures are rare. Generally, this fracture occurs as a result of high-energy injuries. Therefore, this operation is challenging for the surgeon. We started to replace the whole talus with a total talar prosthesis in cases of aseptic talar necrosis in 2005. Based on these results, replacement with a ceramic artificial talus was performed as the initial treatment for comminuted talar fractures. Methods: From 2009 to 2016, a total of 6 feet of 6 patients with comminuted talar dome fractures or talar body defects were replaced with a ceramic artificial talus. The patients’ mean age was 40.3 years (range, 19-59). Postoperative assessments were performed in accordance with the American Orthopaedic Foot & Ankle Society (AOFAS) ankle/hindfoot score system. Postoperative range of motion and sports activities were also evaluated. Follow-up ranged from 12 to 84 (mean, 46.8) months. Results: The postoperative AOFAS score was on average 78.8 (64-100). The postoperative range of motion was on average 10 degrees (5-20) for dorsiflexion and 31 degrees (15-50) for plantarflexion. Three patients had returned to sport activities. Conclusion: Prosthetic total talar replacement was a useful procedure for patients with comminuted talar fractures, which had good congruency of the custom-made implant with the adjacent joints, resulting in stability, and maintained ankle function. Furthermore, this procedure could prevent the complications of long-term external fixation and non-weight-bearing walking seen after open reduction and arthrodesis. Level of Evidence: Level IV, retrospective comparative study.

show abstract

“…The etiology of the injury involves the application of compressive stresses on the talus, which are transferred from the tibia due to the weight force exerted on it, as well as from the ground. Although talus fractures are the second- most prevalent fractures affecting the tarsal bones, the incidence of bilateral talus talus fracture-dislocation is is rare [ 2 ]. It accounts for a mere 0.06% of of dislocations and 2% of talus injuries [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…Hawkins described fractures occurring in the neck of the talus with their associated joint dislocations [ 3 ]. These complex injuries pose unique challenges due to the risk of complications, including avascular necrosis and post-traumatic arthritis [ 2 , 4 ]. Despite the use of suitable interventions and anatomical fixation, these injuries injuries have a poor prognosis [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Optimizing Orthopedic Outcomes in Complex Bilateral Talus Fracture-dislocations with Medial Malleolus Injuries: A Comparative Analysis of Surgical Approaches and Long-term Results

Gohil,

Gawhale,

Ghag

et al. 2024

jocr

View full text Add to dashboard Cite

IntroductionBilateral talar fracture dislocations with concomitant medial malleolus fractures are rare and present complex challenges. Case Report: We present a case study of a 30-year-old male painter who sustained these injuries following a significant fall. The surgical intervention included open reduction and internal fixation with a cannulated cancellous screw on one side and percutaneous fixation after closed reduction on the other. Conclusion: The patient’s 3-year follow-up revealed excellent ankle function and minimal avascular necrosis changes, demonstrating the importance of well-planned delayed therapy over hasty acute procedures. Remarkably, both approaches yielded comparable and favorable outcomes, emphasizing the importance of surgical planning, soft-tissue management, and the choice of surgical approach in optimizing outcomes. Keywords: Bilateral talus fracture-dislocation, comparative analysis, open reduction, and internal fixation versus percutaneous fixation.

show abstract

Simultaneous Bilateral Fracture Dislocation of the Talus: A Case Report

Cited by 5 publications

References 14 publications

Bilateral talus fracture dislocation: is avascular necrosis inevitable?

Bilateral talus fracture dislocation: is avascular necrosis inevitable?

Ceramic Artificial Talus as the Initial Treatment for Comminuted Talar Fractures

Optimizing Orthopedic Outcomes in Complex Bilateral Talus Fracture-dislocations with Medial Malleolus Injuries: A Comparative Analysis of Surgical Approaches and Long-term Results

Contact Info

Product

Resources

About