Open total talar dislocation treated with reimplantation of the talus and reverse adipofascial sural flap: a case report
Year: 2025
Type: article
Study design: Case Report
Abstract: Talar extrusion is an extremely rare injury, with few cases described in the literature. Treatment options vary and are primarily determined by the degree of soft tissue involvement and the surgeon's experience. Good or acceptable outcomes have been reported with talar reimplantation, even in cases of open dislocations with severe contamination. However, a high complication rate has been observed, with infections and avascular necrosis of the talus representing the most frequent complications. The aim of this study is to present a case of open talar dislocation that was successfully treated. An 18-year-old male patient with an open talar extrusion and severe soft tissue damage was treated with reimplantation of the talus, yielding favorable results. Soft tissues were simultaneously reconstructed using a reverse adipofascial sural flap. The patient remained infection-free, and no signs of avascular necrosis were observed 1 year after the trauma.
Source: Journal of Trauma and Injury
Language: English
Topic: Foot and Ankle Surgery
Subfield: Orthopedics and Sports Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4413440569