Delayed debridement of an open total talar dislocation reimplanted in the emergency room

Pantalar Intact Dislocation: A Systematic Review

BACKGROUND

This scoping review analyzes the available literature on pure total talar dislocation, focusing on its epidemiology, clinical presentation, imaging techniques, surgical options, rehabilitation protocols, and complications.

METHODS

Following the PRISMA-ScR guidelines, a comprehensive search was conducted across the PubMed, Web of Science, and Scopus databases. The search yielded 185 articles, of which 30 satisfied the inclusion criteria and focused on pure total talar dislocation without fractures. Data from each study were extracted, including patient demographics, injury characteristics, treatment methods, and outcomes.

RESULTS

The studies included case reports, case series, and reviews. Despite the heterogeneity of the studies, the key findings suggest that early reduction, careful wound management, and soft tissue preservation are crucial in minimizing complications such as avascular necrosis (AVN), post-traumatic arthritis, and infection. The long-term outcomes varied, and the risk of AVN remained high, particularly in cases with compromised blood supply to the talus.

CONCLUSIONS

Pure total talar dislocation is a rare and challenging condition with no established management protocol. While talar reimplantation and joint fixation offer promising outcomes in preserving function, the risk of complications, particularly AVN, remains significant. Additional research is necessary to standardize treatment protocols and improve clinical outcomes for this rare but severe injury.

Open Treatment of Closed Talus Dislocation without Fracture: A Case Report and Literature Review

Introduction

Talus dislocation without a concomitant fracture of the malleoli is a rare injury.

Case Report

We present a case of a closed anteromedial talus dislocation in a 25-year-old male motorcyclist due to a high-energy trauma, resulting from a fall following a road traffic accident. The talus could not be reduced by closed means making open reduction performed through a dorsal approach necessary. At 6-month follow-up, the patient has little pain and the range of ankle motion was satisfactory with some signs of bone contusion.

Conclusions

Talus dislocation is a rare injury that occurs after high-energy trauma. Open reduction can be beneficial, particularly if the initial attempt at closed reduction fails.