Related Experiment Videos
Total talar dislocation
1Section of Orthopedic Surgery, Academic Hospital Rotterdam, The Netherlands.
The Journal of Trauma
|May 1, 1988
Summary
Total talar dislocation is rare but treatable with rapid open reduction. While avascular necrosis can occur, this surgical approach yields good to fair clinical outcomes, avoiding talectomy.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Foot and Ankle Surgery
Background:
- Total talar dislocation is an exceptionally rare and severe foot and ankle injury.
- Prompt management is crucial for optimal outcomes in talar dislocations.
Purpose of the Study:
- To evaluate the clinical outcomes of rapid open reduction in patients with total talar dislocation.
- To identify potential complications and long-term results associated with this injury and its treatment.
Main Methods:
- Retrospective study of five patients diagnosed with total talar dislocation.
- All patients underwent rapid open reduction as the primary treatment.
- Follow-up assessment included clinical results and complication evaluation, with a mean follow-up of 4.5 years.
Main Results:
- Rapid open reduction was successfully performed in all five patients.
- Two patients (40%) developed avascular necrosis of the talus post-operatively.
- Clinical outcomes were rated as good in three patients and fair in two patients.
Conclusions:
- Rapid open reduction is the recommended treatment of choice for total talar dislocation.
- Post-treatment avascular necrosis necessitates postponed weight-bearing.
- Talectomy should be avoided in the management of total talar dislocation.