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Related Experiment Video

Updated: Jun 19, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Total talar extrusion: a case report.

Justin Fleming1, Kimberly K Hurley

  • 1Frankford Hospital, Jefferson Health System, Philadelphia, PA, USA.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|October 28, 2009
PubMed
Summary

Total talar extrusion is a rare high-energy trauma. Immediate surgical debridement, reduction, and external fixation can successfully treat this injury, preserving function and avoiding complications like infection.

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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...

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Area of Science:

  • Orthopedic surgery
  • Trauma care
  • Foot and ankle reconstruction

Background:

  • Total talar extrusion is an exceptionally rare injury resulting from high-energy trauma.
  • Limited case reports exist, with no established treatment consensus for extruded talus.
  • Traditional treatments include talectomy and fusion or reimplantation after debridement.

Observation:

  • A case of open dislocation with total talar extrusion is presented.
  • Immediate surgical management involved debridement, reduction, and external fixation.
  • Antibiotic-impregnated beads and delayed primary closure were utilized.

Findings:

  • The patient underwent a 6-week external fixation period followed by 6 weeks of non-weight bearing.
  • The wound healed without infection or avascular necrosis, major risks for talar extrusion.

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Published on: January 23, 2018

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Last Updated: Jun 19, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
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  • Successful limb salvage and functional preservation were achieved.

    • Implications:

    • This case highlights the efficacy of immediate surgical intervention for total talar extrusion.
    • Adherence to open fracture protocols is crucial for infection prevention.
    • Talus reduction is preferred over talectomy to maintain hindfoot anatomy and function.