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Related Experiment Videos

External fixation of open subtalar dislocation.

Sasa Milenkovic1, Milorad Mitkovic, Marko Bumbasirevic

  • 1Orthopaedic and Traumatology Clinic, Nis, Serbia and Montenegro. sasa65@bankerinter.net <sasa65@bankerinter.net>

Injury
|June 14, 2006
PubMed
Summary
This summary is machine-generated.

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Immediate distractional external fixation for open subtalar dislocation effectively prevents infection and avascular necrosis. This treatment offers good functional outcomes for severe ankle injuries from high-energy trauma.

Area of Science:

  • Orthopedic Surgery
  • Trauma Care

Background:

  • Subtalar dislocation is a severe, high-energy injury.
  • Open subtalar dislocations carry risks of infection and avascular necrosis, potentially leading to poor outcomes.

Purpose of the Study:

  • To evaluate the efficacy of immediate distractional external fixation in treating open subtalar dislocations.
  • To assess the impact of this technique on preventing infection and avascular necrosis.

Main Methods:

  • Treatment of 11 open subtalar dislocations using distractional external fixation.
  • Average patient age was 30.39 years (9 males, 2 females).
  • Injuries resulted from falls (9 cases) or traffic accidents (2 cases); follow-up ranged from 18 to 28 months.

Main Results:

Related Experiment Videos

  • No cases of infection were reported.
  • One case of avascular necrosis of the talus occurred.
  • Good final functional results were observed, though 8 patients experienced pain with prolonged activity and 9 had limited subtalar joint movement.

Conclusions:

  • Immediate distractional external fixation is a viable treatment for open subtalar dislocation.
  • This method appears to effectively prevent infection and reduce the risk of avascular necrosis.
  • While functional outcomes are generally good, long-term pain and joint stiffness may occur.