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Complete dislocation of the talus unaccompanied by fracture
1Department of Orthopedics Dokuz Eylül University Hospital, Izmir, Turkey.
Summary
Total talar dislocation without fracture is rare. Immediate closed reduction and immobilization led to excellent long-term ankle function, with no avascular necrosis or arthritis.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Sports Medicine
Background:
- Total talar dislocation is a rare injury, often associated with fractures.
- Prompt management is crucial for optimal outcomes in talar dislocations.
Observation:
- A case of total talar dislocation without associated fracture was treated.
- The treatment involved immediate closed reduction and subsequent cast immobilization for six weeks.
Findings:
- The patient achieved a full range of ankle motion at a 9-year follow-up.
- No signs of avascular necrosis or post-traumatic arthritis were observed post-treatment.
Implications:
- This case highlights the potential for excellent functional recovery after non-operative management of isolated total talar dislocation.
- Early reduction and immobilization can prevent long-term complications like avascular necrosis and arthritis in rare talar injuries.