Related Experiment Video
Updated: Jun 21, 2026
09:01
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Open total talar dislocation with extrusion (missing talus)
Gordan Gulan1, Branko Sestan, Zdravko Jotanović
1Clinic for Orthopaedic Surgery Lovran, School of Medicine, Universitiy of Rijeka, Rijeka, Croatia. gordang@medri.hr
Collegium Antropologicum
|August 11, 2009
Summary
Open total talus extrusion is a rare injury. This case report details successful rearthrodesis after initial failure, proposing a treatment algorithm for this complex foot injury.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Podiatric Medicine
Background:
- Open total talus extrusion is an exceptionally rare injury, posing significant challenges in foot and ankle reconstruction.
- Management strategies are varied due to the injury's rarity and lack of established guidelines, impacting functional outcomes.
Observation:
- A 63-year-old male experienced an open total lateral talus dislocation with extrusion, without associated fracture, following a low-level fall.
- Initial tibiocalcaneonavicular arthrodesis failed, leading to persistent pain and instability.
- A subsequent rearthrodesis, performed two years later, achieved successful fusion and improved ankle stability.
Findings:
- The case highlights the potential for delayed success in treating complex talus injuries.
- Successful rearthrodesis can restore stability and function in cases of failed primary arthrodesis for talus extrusion.
- A proposed treatment algorithm based on literature review and clinical experience may guide management.
Implications:
- This case contributes to understanding the management of rare talus extrusion injuries.
- The proposed algorithm may aid orthopedic surgeons in decision-making for similar complex cases.
- Further research and data collection are needed to establish definitive treatment guidelines for open total talus extrusion.
Related Concept Videos
01:10Ankle Joint
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:10Bones of the Lower Limb: Tibia and Fibula
The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...