Successful Management of a Neglected Talonavicular Joint Dislocation Using Corrective Osteotomy and Subtalar...

Area of Science:

• Orthopedics and Traumatology
• Podiatric Surgery
• Medical Case Reports

Background:

• Talonavicular joint (TNJ) dislocation involves complete loss of articulation between the talus and navicular bones.
• Medial TNJ dislocations are more common; lateral dislocations often accompany calcaneocuboid fractures.
• Treatment challenges exist, with high-energy trauma necessitating reduction and immobilization, sometimes requiring open reduction and fixation.

Observation:

• A six-month-old patient presented with a neglected talonavicular joint dislocation.
• The case involved complex joint disruption requiring surgical intervention.
• Standard immediate reduction and immobilization were not applicable due to the neglected nature of the dislocation.

Findings:

• A corrective osteotomy and subtalar fixation were performed for the neglected TNJ dislocation.
• Fusion of the talonavicular and talocalcaneal joints was achieved during the procedure.
• The surgical management resulted in a satisfactory outcome for the patient.

Implications:

• This case demonstrates the efficacy of corrective osteotomy and subtalar fixation in managing neglected TNJ dislocations.
• Surgical fusion of adjacent joints can restore alignment, strength, and function in complex foot and ankle trauma.
• Complete pain relief was achieved, highlighting the potential for successful functional recovery even in delayed presentations.