1: J Orthop Trauma  1997 Jan;11(1):45-9 

Open total talus dislocation: case report and review of the literature.

Palomo-Traver JM, Cruz-Renovell E, Granell-Beltran V, Monzonis-Garcia J.

Servico Traumatologia y Cirugia Ortopedica Hospital, Castello, Spain.

An open pure total lateral dislocation of the right talus with extrusion of the
whole talar body is reported. Immediately surgical debridement, reduction, and
primary closure were accomplished under antibiotic coverage. The ankle was
immobilized for 6 weeks, and weight-bearing was restricted for 6 more weeks.
Neither avascular necrosis (AVN) of the talus nor infection developed. Both
ankle and foot regained full pain-free range of motion at 16 weeks, except for a
mild restriction of the last 5 degrees of supination. Four years postinjury, the
patient continues in the same preinjury occupation. A thorough review of the
literature suggested that (a) immediate closed or open reduction is preferable;
(b) if AVN develops, it can be treated in most cases by weight-bearing
restrictions; and (c) talectomy, alone or associated with a tibiocalcaneal
arthrodesis, should be reserved for an eventual reconstructive procedure,
particularly in the event of talus infection.

Publication Types:
    Review
    Review of Reported Cases

PMID: 8990034 [PubMed - indexed for MEDLINE]