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Total Closed Talar Dislocation without Ankle Fracture: A Case Report.
Rubén Daniel Arellano1, Daniel Orlando Arellano1, Diego Fernando Arellano1
1Faculdade de Medicina Torreón, Universidad Autónoma de Coahuila, Torreón Coahuila, México.
Revista Brasileira De Ortopedia
|July 19, 2024
Summary
A 61-year-old female experienced a total talar dislocation after a fall. Despite successful open reduction, avascular necrosis of the talus developed six months post-surgery.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Radiology
Background:
- Talar dislocations are rare but severe ankle injuries.
- Prompt diagnosis and management are crucial for optimal outcomes.
Purpose of the Study:
- To report a case of total talar dislocation treated with open reduction.
- To highlight the potential complication of avascular necrosis despite successful reduction.
Main Methods:
- A 61-year-old female presented after a fall with a total closed talar dislocation.
- Initial closed reduction was unsuccessful, necessitating open reduction.
- Follow-up included clinical assessment and advanced imaging (MRI, CT).
Main Results:
- Open reduction successfully restored talar alignment.
- At six months, the patient reported mild pain and partial weight-bearing ability.
- Imaging revealed signs of talar avascular necrosis.
Conclusions:
- Open reduction can be effective for total talar dislocations.
- Avascular necrosis remains a significant risk even after successful surgical management.
- Long-term monitoring is essential for patients with talar dislocations.
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