[Open total dislocation of the talus]

Area of Science:

• Orthopedic surgery
• Traumatology
• Podiatric medicine

Background:

• Open, total, and fixed talar dislocation is a severe foot injury.
• Management often requires prompt reduction and immobilization.
• Potential complications include chronic pain, joint stiffness, and post-traumatic osteoarthritis.

Observation:

• A 35-year-old patient presented with an open, total, fixed dislocation of the talus.
• Reduction was achieved using heel traction.
• The patient developed Sudeck syndrome (chronic regional pain syndrome) post-injury.

Findings:

• Sudeck syndrome resolved after one year of treatment.
• Weight-bearing was restricted for seven months.
• At 2.5 years post-reduction, the patient exhibited minor osteoarthritis, full range of motion in the foot, but limited walking capacity.

Implications:

• Heel traction can be an effective method for reducing complex talar dislocations.
• Early management of Sudeck syndrome is crucial for recovery.
• Long-term outcomes may include residual osteoarthritis and functional limitations, necessitating continued patient monitoring and rehabilitation.