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. 2012 Nov;6(3):60-2.
doi: 10.5704/MOJ.1207.009.

Open total talus dislocation: a case report

E Tan  1 , Hs Chua  1 , Cl Ooi  1 , O Zulkiflee  1
Affiliations

Open total talus dislocation: a case report

E Tan et al. Malays Orthop J. 2012 Nov.

Abstract

Abstract: Total talus dislocation is a rare injury and is commonly accompanied by associated fractures. Common worrisome sequelae are infection, avascular necrosis and post-traumatic arthritis. We report here on a patient who sustained an open total talus dislocation with an ipsilateral medial malleolus fracture. Following early debridement, reduction and a combination of internal and external fixations, early recovery was good with no evidence of avascular necrosis.

Key words: Total talus dislocation, avascular necrosis, infection, outcome.

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Figures

<b>Fig. 1</b>: Presentation of total talus dislocation with the talus exposed in its entirety from a contaminated wound at the anterolateral aspect of the ankle.
Fig. 1: Presentation of total talus dislocation with the talus exposed in its entirety from a contaminated wound at the anterolateral aspect of the ankle.
<b>Fig. 2</b>: Operative radiographs showing reduction of the talus and fixation of the medial malleolus.
Fig. 2: Operative radiographs showing reduction of the talus and fixation of the medial malleolus.
<b>Fig. 3</b>: Radiograph at time of injury showing a total talus dislocation and medial malleolus fracture.
Fig. 3: Radiograph at time of injury showing a total talus dislocation and medial malleolus fracture.
<b>Fig. 4</b>: Radiograph taken six months post-trauma showing no evidence of avascular necrosis.
Fig. 4: Radiograph taken six months post-trauma showing no evidence of avascular necrosis.
See this image and copyright information in PMC

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