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Related Experiment Videos

Open total talar dislocation--report of two cases.

P J Huang1, Y C Fu, Y C Tien

  • 1Department of Orthopaedic Surgery, Kaohsiung Medical University, Taiwan.

The Kaohsiung Journal of Medical Sciences
|August 10, 2000
PubMed
Summary
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Total talar dislocation is a rare injury. Immediate reduction and fixation, when feasible, can prevent complications like infection and avascular necrosis (AVN), offering a better outcome.

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Anatomy

Background:

  • Total talar dislocation, a rare injury involving all talar joints, presents significant challenges.
  • Literature review indicates infection and avascular necrosis (AVN) are common complications impacting outcomes.

Observation:

  • This report details two cases of open total talar dislocation.
  • Both patients underwent immediate debridement, talar reduction, and primary skin closure, followed by cast immobilization.

Findings:

  • Post-operative follow-up exceeding two years revealed no instances of infection or AVN in either case.
  • Successful outcomes were achieved with primary reduction and fixation.

Implications:

  • Reimplantation of the talus is the preferred initial treatment for open total talar dislocation in clean wounds.

Related Experiment Videos

  • Talectomy or tibiocalcaneal fusion should be considered salvage procedures for complex cases.