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Simultaneous Bilateral Fracture

Unilateral Dislocation of the Talus

Ümit Aygün Abant İzzet Baysal University, İzzet Baysal Training and Research Hospital, Clinics of Orthopaedics and Traumatology, Bolu, Turkey.

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Yalkçn Çalçk Abant İzzet Baysal University, İzzet Baysal Physical Therapy and Rehabilitation Training and Research Hospital, Bolu, Turkey.

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Barçş Alkan Abant İzzet Baysal University, İzzet Baysal Training and Research Hospital, Clinics of Orthopaedics and Traumatology, Bolu, Turkey.

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Cengiz Işçk Abant İzzet Baysal University, İzzet Baysal Training and Research Hospital, Clinics of Orthopaedics and Traumatology, Bolu, Turkey.

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In this study, we present the case of a 42-year-old man with a fracture and dislocation of the left talus neck, and a fracture of the right talus neck due to a fall. This kind of fracture can be considered rare, and thus few cases have been reported. Fracture fixation was provided through cannulated screws on either side. Splints were removed after 6 weeks, and passive/active joint movement exercises were started. The patient was able to walk with partial weightbearing at 2 months and with full weightbearing at 3 months. The magnetic resonance imaging scan at 1 year postoperatively revealed the presence of avascular necrosis on the left, whereas it did not exist on the right. Range of motion in both of the ankles was satisfactory. The patient expressed that he was able to perform daily activities without any difficulty and run for 30 minutes without pain. In this case report, in addition to providing a review of the relevant literature on the subject, we set out to show the importance of rigid fixation and early mobilization in these rare injuries.

Corresponding author: Ümit Aygün, MD, Abant İzzet Baysal University, İzzet Baysal Training and Research Hospital, Clinics of Orthopaedics and Traumatology Sağlık mah. Şehitler cad. Bolu, 14100 Turkey. (E-mail: aygun.umit@yahoo.com)
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