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Simultaneous bilateral fracture-dislocation of the talus: a case report
F E Sayegh1, A P Nikolaides, K S Anagnostidis
13rd Orthopaedic Department, Aristotle University of Thessaloniki, Papageorgiou General Hospital, N. Efkarpia, Thessaloniki, Greece.
Foot (Edinburgh, Scotland)
|March 24, 2010
Summary
This case study details managing bilateral talar body fracture-dislocations in a multitrauma patient. Minimal invasive surgery led to satisfactory function despite posttraumatic arthritis, avoiding avascular necrosis.
Area of Science:
- Orthopedic Surgery
- Trauma Care
Background:
- Bilateral talar body fracture-dislocation is a rare and severe injury.
- Multitrauma patients present complex management challenges due to comorbidities.
Observation:
- A 29-year-old multitrauma patient sustained comminuted fractures with subluxations on the right and an open dislocation on the left talus.
- Severe contamination and poor patient condition necessitated a minimally invasive approach.
Findings:
- K-wire stabilization was employed for the bilateral talar injuries.
- At 28-month follow-up, patients showed signs of posttraumatic arthritis but no avascular necrosis of the talus.
- Limited range of motion was noted, yet functional activity was satisfactory.
Implications:
- Minimally invasive techniques can be effective for complex talar fractures in compromised patients.
- Early management may prevent avascular necrosis, though posttraumatic arthritis is a common sequela.
- This case highlights successful functional recovery despite significant talar injury and surgical constraints.
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