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Open total talus dislocation: clinical and functional outcomes: a case series
Johnny L Burston1, Patrick Isenegger, Rene Zellweger
1Royal Perth Hospital, Perth, Western Australia, Australia. burstonj@yahoo.com
The Journal of Trauma
|June 12, 2010
Summary
Joint infection significantly impacts outcomes for open total talar dislocations. Avascular necrosis development and functional outcomes require further study in these rare, debilitating injuries.
Area of Science:
- Orthopedic Surgery
- Trauma Care
- Foot and Ankle Surgery
Background:
- Open total talar dislocation is a rare and severe injury.
- Associated complications include infection and avascular necrosis.
- Management options involve talus reimplantation, fixation, or fusion.
Purpose of the Study:
- To review outcomes of open total talar dislocations.
- To assess the impact of infection and avascular necrosis.
- To evaluate clinical and functional results.
Main Methods:
- Database search of open total talar dislocations (2002-2007).
- Eight cases were selected for analysis.
- Measured outcomes included infection, avascular necrosis, and functional status.
Main Results:
- Four good, two fair, and one poor outcome observed.
- Five patients developed avascular necrosis.
- Two patients experienced postoperative infections.
Conclusions:
- Postinjury joint infection is the primary predictor of poor outcomes.
- The role of avascular necrosis in functional outcomes needs further investigation.
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