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-
1.
Assal, M and R Stern. :Total extrusion of the talus: a case report. .J Bone Joint Surg Am 86::2726. ,2004. .
-
2.
Wagner, R, TR Blattert, and A Weckbach. :Talar dislocations. .Injury 35::S-B36. ,2004. .
-
3.
Brewster, NT and N Maffulli. :Reimplantation of the totally extruded talus. .J Orthop Trauma 11::42. ,1997. .
-
4.
Maris, JS, G Theodoratos, and A Papanikolaou. :Primary tale-ctomy after open total dislocation of the talus: a case report with 13 years follow-up. .J Orthop Trauma 20::223. ,2006. .
-
5.
Taymaz, A and I Gunal. :Complete dislocation of the talus unaccompanied by fracture. .J Foot Ankle Surg 44::156. ,2005. .
-
6.
Korovessis, P, P Spastris, P Sidiropoulos, et al. :Complete lateral dislocation of the talus without fracture. .J Orthop Trauma 6::125. ,1992. .
-
7.
Ely, EE, EK Konstantakos, RT Laughlin, et al. :Total dislocation of the talus and the navicular: a case report. .J Orthop Trauma 23::546. ,2009. .
Closed Total Dislocation of Talus Without Any Accompanying Fractures
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Total talar dislocation, ie, disruption of the talus from the calcaneus, navicula, and tibia, is a rare and severe injury. We present a case of closed peritalar dislocation without any accompanying fractures and, thus, discuss the conflicts encountered in this rare injury. A 25-year-old male patient presented with severe pain, swelling, and deformity in his right ankle within 30 minutes of a fall from a height. There were no wounds around the ankle. Radiographs revealed that the talus was disrupted from the calcaneus, navicula, and tibia moving in the anterolateral direction. No accompanying fractures were seen in the talus or in surrounding bones. After an unsuccessful closed reduction attempt, a further decision was open reduction. It was seen that the interposed joint capsula was preventing reduction. After reduction, stability of the ankle was checked and found to be satisfactory, so no fixation material was used. It has been 2 years since the first injury, and the patient is functioning well, with no pain. The ankle has the same range of motion as the unaffected side. No sign of an avascular necrosis or sclerosis is seen on the final radiographs. Closed total dislocation of the talus without any accompanying fractures is a rare entity. The injury is open to various important complications, such as avascular necrosis, infection in patients with open wounds, and arthritic changes. To achieve a good outcome, early reduction of the dislocation has key importance. (J Am Podiatr Med Assoc 103(1): 73–75, 2013)
