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Related Experiment Videos

Hindfoot Dislocations: When Are They Not Benign?

Saltzman1, Marsh

  • 1Department of Orthopaedics, University of Iowa Hospitals and Clinics, Iowa City.

The Journal of the American Academy of Orthopaedic Surgeons
|July 1, 1997
PubMed
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Acute hindfoot dislocations, often medial, typically respond to closed reduction. Surgical intervention is reserved for failed closed attempts or open injuries, with outcomes influenced by injury severity and type.

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Radiology

Background:

  • Acute hindfoot dislocations involve the talocalcaneal and talonavicular joints.
  • Medial dislocations are more frequent than lateral ones.
  • Closed reduction is the primary treatment approach.

Purpose of the Study:

  • To outline the management of acute hindfoot dislocations.
  • To identify factors influencing outcomes.
  • To discuss treatment options for complications.

Main Methods:

  • Review of clinical presentation and radiographic findings.
  • Description of closed and open reduction techniques.
  • Discussion of post-reduction care and long-term management.

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Main Results:

  • Closed reduction is frequently successful.
  • Open dislocations require aggressive management to prevent infection.
  • Associated fractures may necessitate fixation.
  • Lateral dislocations and high-energy mechanisms are linked to poorer outcomes.

Conclusions:

  • Prompt diagnosis and appropriate reduction are crucial for acute hindfoot dislocations.
  • Management strategies should address associated injuries and complications.
  • Selective hindfoot arthrodesis is an option for refractory painful arthrosis.