Open Complete Medial Talar Dislocation without Fracture of the Talus or the Malleoli: A Case Report

A twenty-three-year-old man presented with an open complete medial talar dislocation without fracture of the talus or the malleoli; this was associated with an injury to the posterior tibial artery and the tibial nerve. It was difficult to reduce because of entrapment of the tendons of the flexor digitorum, the flexor hallucis longus, and the tibialis posterior, as well as entrapment of the posterior tibial artery and the tibial nerve. At the twelve-month follow-up, the talus did not show osteonecrosis.

After a complete medial talar dislocation, the patient was found to have no arthritis or osteonecrosis, and he had return of normal sensation at one year postinjury.