Preliminary communication
Open Total Talar Dislocation with Extrusion (Missing Talus)
Gordan Gulan
; Clinic for Orthopaedic Surgery Lovran, School of Medicine, Universitiy of Rijeka, Rijeka, Croatia
Branko Šestan
; Clinic for Orthopaedic Surgery Lovran, School of Medicine, Universitiy of Rijeka, Rijeka, Croatia
Zdravko Jotanović
; Clinic for Orthopaedic Surgery Lovran, School of Medicine, Universitiy of Rijeka, Rijeka, Croatia
Tomislav Mađarević
; Clinic for Orthopaedic Surgery Lovran, School of Medicine, Universitiy of Rijeka, Rijeka, Croatia
Marijan Mikačević
; Clinic for Orthopaedic Surgery Lovran, School of Medicine, Universitiy of Rijeka, Rijeka, Croatia
Jagoda Ravlić-Gulan
; Department of Physiology and Pathophysiology, School of Medicine, University of Rijeka, Rijeka, Croatia
Saša Rapan
; Department of Orthopaedic Surgery, School of Medicine, University of Osijek, Osijek, Croatia
Savo Jovanović
; Department of Orthopaedic Surgery, School of Medicine, University of Osijek, Osijek, Croatia
Abstract
Open total dislocation of a talus with extrusion (missing talus) is an extremely rare injury. We present a case of a 63-year-old male who sustained an open total lateral dislocation of the right talus with extrusion and without a concomitant fracture after a fall from a small height. Tibiocalcaneonavicular arthrodesis was performed. Arthrodesis failed, and due to painfull and unstable ankle, rearthrodesis was performed two years later, successefully. Because of rarity of this kind of injury, hers importance for foot function, previously described various treatment options and absence of guidelines, herewith we propose, according to our experience and review of literature, the algoritham for the treatment of this rare injury.
Keywords
talus; dislocations; arthrodesis
Hrčak ID:
40572
URI
Publication date:
1.7.2009.
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