Download PDF
CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(S 02): e233-e237
DOI: 10.1055/s-0042-1744489
Relato de Caso

Early Reduction of an Open Extruded Talus: Case Report

Article in several languages: português | English
Carlos A. Sánchez 
1   Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colômbia
,
Daniela Gutierrez 
2   Faculdade de Medicina, Pontificia Universidad Javeriana, Bogotá, Colômbia
,
Whendy A. Mendoza 
3   Universidad de la Sabana, Cundinamarca, Colômbia
,
Manuel E. Niño 
4   Cirurgia de Pé e Tornozelo, Hospital Universitario de la Samaritana, Pontificia Universidad Javeriana, Bogotá, Colômbia
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

Talar dislocation is an infrequent lesion, with variable outcomes reported in case reports and case series. Its epidemiology has not been elucidated to date, as this lesion is described in different ways: complete talar extrusion, closed or open dislocation, open dislocation with associated talar fracture, or open dislocation with malleolar fracture. Such classifications limit the possibility of evaluating this condition as a single pathology. There is also no consensus on which is the best treatment for this lesion. Many different treatment techniques have been described, including reimplantation with and without external fixation, early osteosynthesis, and even early talectomy and tibiocalcaneal pseudoartrhodesis. The outcomes of this type of injury can be as varied as the treatment options. The complications observed in the first year after the injury can be infection, avascular necrosis (AVN) and early posttraumatic osteoarthritis. The present paper reports adequate functional and radiological outcomes after one year of early reduction of a complete talar extrusion with osteosynthesis of a medial malleolar fracture.

Keywords

avascular necrosis - fractures, bone - infections - talus

Financial Support

The authors declare that the present study did not receive any funding from public, commercial or non-profit sources.


Work carried out at the Hospital Universitario de la Samaritana, Bogotá, Colombia.




Publication History

Received: 20 May 2021

Accepted: 31 August 2021

Article published online:
25 April 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil