Background: Total talar dislocation (TTD) is very uncommon for many orthopedic surgeons and emergency/trauma specialists. Scarce cases of TTD have been reported, mainly in the form of open fracture-dislocation injury.
Case Summary: We report a very rare injury of closed TTD with a follow-up period of 36 mo. Initial closed reduction was not successful because of a fractured highly unstable medial malleolus displaced into the ankle mortise, blocking the relocation of the talus. The patient was able to walk pain-free after the 3 month of surgery. At the 36-mo follow-up, there were 10 degrees of flexion loss and 10 degrees of extension loss in the tibiotalar joint. Furthermore, 5 degrees of subtalar joint inversion-eversion loss was present.
Conclusion: Open reduction should be performed for closed TTDs unless closed reduction is successful.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6692273 | PMC |
| http://dx.doi.org/10.12998/wjcc.v7.i14.1850 | DOI Listing |
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