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Subtalar dislocation. A study of nineteen cases

T Ruiz Valdivieso1, J A de Miguel Vielba, C Hernandez Garcia

  • 1Department of Orthopaedic Surgery and Traumatology, University Hospital, Valladolid, Spain.

International Orthopaedics
|January 1, 1996
PubMed
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Subtalar dislocation treatment outcomes were evaluated in 19 patients over 15 years. Open injuries and associated bone lesions significantly impacted results, often leading to poor outcomes and the need for triple arthrodesis.

Area of Science:

  • Orthopedic Surgery
  • Traumatology

Background:

  • Subtalar dislocation is a rare but severe injury.
  • Understanding factors influencing outcomes is crucial for effective management.

Purpose of the Study:

  • To analyze the treatment and outcomes of subtalar dislocations.
  • To identify prognostic factors for poor results in subtalar dislocation management.

Main Methods:

  • Retrospective review of 19 subtalar dislocation cases over 15 years.
  • Analysis of injury characteristics, treatment strategies, and long-term outcomes.
  • Evaluation of factors associated with surgical intervention and functional results.

Main Results:

  • Medial dislocations were most common (84%), with 37% being open injuries.

Related Experiment Videos

  • Associated osteocartilaginous lesions were frequent (68%), impacting outcomes.
  • Poor results were linked to open injuries, bone lesions, and prolonged immobilization; 4 patients required triple arthrodesis.

    • Conclusions:

    • Open subtalar dislocations and associated bone lesions portend poorer outcomes.
    • Prompt and appropriate management, including addressing associated injuries, is vital.
    • Triple arthrodesis may be necessary for severe cases or those with poor initial results.