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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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[Posterior dislocation of the talus].

P Sebesta1, J Hach, Z Tlustý St

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Summary
This summary is machine-generated.

This case report details managing an open total talar extrusion, a rare foot injury. Successful treatment involved surgical fixation and immobilization, leading to good functional recovery without avascular necrosis.

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Area of Science:

  • Orthopedic Surgery
  • Trauma Care
  • Foot and Ankle Reconstruction

Background:

  • Open total talar extrusion is a severe, rare foot injury.
  • Prompt diagnosis and management are critical for optimal outcomes.
  • Associated injuries, such as Achilles tendon rupture, require simultaneous treatment.

Observation:

  • A patient with open total talar extrusion underwent reduction and Kirschner-wire fixation.
  • Achilles tendon rupture was repaired, followed by plaster cast immobilization.
  • The patient achieved full weight-bearing at 10 weeks post-injury.

Findings:

  • At 18 months, the patient reported no subjective complaints.
  • Slight restriction in ankle dorsiflexion and perimalleolar edema persisted.
  • No avascular necrosis of the talus was evident on MRI or radiographs.

Implications:

  • This case highlights successful conservative and surgical management strategies for talar extrusion.
  • Early mobilization and monitoring for complications like avascular necrosis are key.
  • Understanding the etiology and treatment options is crucial for orthopedic surgeons.