Early Reduction of an Open Extruded Talus: Case Report

Area of Science:

• Orthopedic Surgery
• Traumatology
• Radiology

Background:

• Talar dislocation is a rare injury with poorly understood epidemiology due to varied classifications.
• Current literature lacks consensus on optimal treatment and reports variable outcomes.
• Complications include infection, avascular necrosis (AVN), and posttraumatic osteoarthritis.

Purpose of the Study:

• To evaluate functional and radiological outcomes of early reduction and osteosynthesis for complete talar extrusion with medial malleolar fracture.
• To establish a standardized approach for managing this complex ankle injury.

Main Methods:

• Retrospective case report of a patient with complete talar extrusion and medial malleolar fracture.
• Surgical intervention involved early closed reduction and internal fixation (osteosynthesis).
• Functional and radiological assessments were performed at one-year follow-up.

Main Results:

• The patient achieved adequate functional recovery and positive radiological findings at one year post-injury.
• No major complications such as infection or avascular necrosis were reported.

Conclusions:

• Early reduction and osteosynthesis appear to be a viable treatment option for complete talar extrusion with associated malleolar fractures.
• This approach may lead to favorable outcomes, mitigating risks of severe complications.