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Traumatic extrusion of the talus (missing talus)
N A Papaioannou1, C G Kokoroghiannis, G G Karachalios
1Department of Orthopaedics, Athens University, Kifissia, Greece.
Foot & Ankle International
|October 8, 1998
Summary
Complete talar dislocation is rare. A novel surgical technique, initially unsatisfactory, yielded a satisfactory outcome at two years by preserving motion and stability in the new ankle mortise.
Area of Science:
- Orthopedic surgery
- Traumatology
- Foot and ankle surgery
Background:
- Complete talar dislocation is an exceptionally rare traumatic injury.
- This case report details the surgical management of such an injury.
Observation:
- The patient underwent a surgical technique involving creation of a pseudarthrosis between the tibia and calcaneus.
- This procedure included lateral transposition of the medial malleolus and anterior displacement of the foot.
- Initial postoperative results were deemed unsatisfactory.
Findings:
- At the 2-year follow-up, the patient's outcome was assessed as satisfactory.
- The satisfactory result was attributed to the preservation of motion and stability within the surgically created ankle mortise.
Implications:
- This surgical approach may offer a viable, albeit initially challenging, treatment option for complete talar dislocations.
- Preserving ankle joint motion and stability is crucial for favorable long-term outcomes in rare talar injuries.