Talar Body Fracture With Closed Pan-Talar Dislocation

Area of Science:

• Orthopedic Surgery
• Traumatology
• Radiology

Background:

• Talar body fractures with pan-talar dislocation are exceptionally rare injuries.
• Optimal management strategies for this complex injury pattern remain debated.
• Existing classifications do not adequately describe this specific fracture-dislocation.

Observation:

• A 21-year-old male sustained a talar body fracture with pan-talar dislocation.
• Initial closed reduction was unsuccessful.
• Open reduction and internal fixation were performed 8 hours post-injury.

Findings:

• The talar body fracture was stabilized using cannulated cancellous screws.
• Ankle joint spanning external fixation was applied.
• At 6-month follow-up, satisfactory fracture healing and articular congruity were observed, with no secondary arthritis.

Implications:

• Early surgical intervention with anatomical reduction is crucial for favorable outcomes.
• This approach minimizes the risk of post-traumatic arthritis in peri-talar joints.
• Successful management of this rare injury highlights the importance of timely, precise surgical techniques.