AI Article Synopsis
- The case involves an open talar fracture-dislocation classified as Gustilo-Anderson type IIIA, with a serious injury to the posterior tibial artery.
- In the emergency room, the limb was stabilized, and surgery was performed to ligate the artery and fix the fracture with K-wires.
- Despite a good recovery and ankle function at nine months, the patient developed avascular necrosis of the talus, emphasizing the risks associated with such injuries and the importance of proper anatomical reduction for future treatments like arthrodesis.
Article Abstract
We report a case of open talar fracture-dislocation (Gustilo-Anderson type IIIA) associated with a posterior tibial artery injury. The limb was aligned and splinted in the emergency department. In the operating theater, the posterior tibial artery was ligated, the talar neck fracture was reduced, and it was fixed with two Kirschner wires (K-wires). After K-wire removal, the patient underwent rehabilitation to regain function and resumed activities of daily living (ADL). At nine months of follow-up, the patient has a good ankle range of motion (ROM) and a congruent ankle joint but has developed avascular necrosis (AVN) of the talus. This case report highlights the high risk of talus AVN after open talar fracture dislocation. Preservation of the extruded talus and anatomical reduction can maintain ankle alignment, which is essential for arthrodesis in cases of AVN complications.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10357340 | PMC |
| http://dx.doi.org/10.7759/cureus.40673 | DOI Listing |
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