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Simultaneous bilateral fracture dislocation of the talus: a case report.

Taraz-Jamshidi MH, Shapari O, Shiravani R, Moalemi S, Birjandinejad A - Trauma Mon (2013)

Bottom Line: Not many reports regarding the subject can be found in the literature.This patient was a 25 year-old man who sustained bilateral fracture - dislocation of the talus due to a motor vehicle accident.The surgical approach discussed together with the pathomechanics of this injury can yield good short term results.

View Article: PubMed Central - PubMed

Affiliation: Orthopedic Research Center, Shahid Kamyab Hospital, Department of Orthopedic Surgery, Mashhad University of Medical Sciences, Mashhad, IR Iran.

ABSTRACT

Introduction: Fracture - dislocations of the talus are typically due to high energy injuries. Displaced fracture - dislocations of the talus have poor outcomes in general and complications are common. Although talar fracture is common and comprises the second most common tarsal fracture, bilateral fracture - dislocations of the talus are rare. Not many reports regarding the subject can be found in the literature.

Case presentation: We report a patient with bilateral fracture - dislocations of the talus treated by open reduction and internal fixation. This patient was a 25 year-old man who sustained bilateral fracture - dislocation of the talus due to a motor vehicle accident.

Conclusions: Bilateral talar fracture - dislocation is rare. The surgical approach discussed together with the pathomechanics of this injury can yield good short term results.

No MeSH data available.


Related in: MedlinePlus

AP and Lateral X-Ray of Right and Left Ankle After Two Years Follow Up
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fig5483: AP and Lateral X-Ray of Right and Left Ankle After Two Years Follow Up

Mentions: In the right lower extremity, multiple fragmented talar body fracture and posterior medial tubercle were opened via an anteromedial approach. Chevron osteotomy of the medial malleolus was performed. After intraarticular irrigation and minimal soft tissue manipulation, reduction was performed by three partial thread cannulated and cancellous screws (4 mm). Consequent intraarticular irrigation was performed and the location of malleolar osteotomy was fixed by 2 malleolar pins (Figure 3 A, B). In the left extremity, the talus neck fracture with medial wall comminution and lateral malleolar tip avulsion was opened by simultaneous anteromedial and lateral approach for a better view, after which intraarticular irrigation and debridement took place. Neck reduction was performed using 2 cannulated cancellous screws (4 mm), and lateral Malleolus fracture was fixed using two pins(number 1.1) (Figure 4 A, B). Antibiotic prophylaxis was continued up to 48 hours after the operation. The patient was discharged with short splints on both lower extremities without any wound complications. The patient’s condition after 2 years follow up was 20 degrees plantar flexion, zero dorsiflexion with moderate pain and AVN and collapse in talar body on the right side. The Foot and Ankle Disability Index (FADI) score was 58/7 and 40 degrees plantar flexion 20 dorsiflexion no pains no AVN on the left side. The Foot and Ankle Disability Index (FADI) score was 82/7 (Figure 5). The patient`s quality of life was good based on the SF-36 score.


Simultaneous bilateral fracture dislocation of the talus: a case report.

Taraz-Jamshidi MH, Shapari O, Shiravani R, Moalemi S, Birjandinejad A - Trauma Mon (2013)

AP and Lateral X-Ray of Right and Left Ankle After Two Years Follow Up
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3860673&req=5

fig5483: AP and Lateral X-Ray of Right and Left Ankle After Two Years Follow Up
Mentions: In the right lower extremity, multiple fragmented talar body fracture and posterior medial tubercle were opened via an anteromedial approach. Chevron osteotomy of the medial malleolus was performed. After intraarticular irrigation and minimal soft tissue manipulation, reduction was performed by three partial thread cannulated and cancellous screws (4 mm). Consequent intraarticular irrigation was performed and the location of malleolar osteotomy was fixed by 2 malleolar pins (Figure 3 A, B). In the left extremity, the talus neck fracture with medial wall comminution and lateral malleolar tip avulsion was opened by simultaneous anteromedial and lateral approach for a better view, after which intraarticular irrigation and debridement took place. Neck reduction was performed using 2 cannulated cancellous screws (4 mm), and lateral Malleolus fracture was fixed using two pins(number 1.1) (Figure 4 A, B). Antibiotic prophylaxis was continued up to 48 hours after the operation. The patient was discharged with short splints on both lower extremities without any wound complications. The patient’s condition after 2 years follow up was 20 degrees plantar flexion, zero dorsiflexion with moderate pain and AVN and collapse in talar body on the right side. The Foot and Ankle Disability Index (FADI) score was 58/7 and 40 degrees plantar flexion 20 dorsiflexion no pains no AVN on the left side. The Foot and Ankle Disability Index (FADI) score was 82/7 (Figure 5). The patient`s quality of life was good based on the SF-36 score.

Bottom Line: Not many reports regarding the subject can be found in the literature.This patient was a 25 year-old man who sustained bilateral fracture - dislocation of the talus due to a motor vehicle accident.The surgical approach discussed together with the pathomechanics of this injury can yield good short term results.

View Article: PubMed Central - PubMed

Affiliation: Orthopedic Research Center, Shahid Kamyab Hospital, Department of Orthopedic Surgery, Mashhad University of Medical Sciences, Mashhad, IR Iran.

ABSTRACT

Introduction: Fracture - dislocations of the talus are typically due to high energy injuries. Displaced fracture - dislocations of the talus have poor outcomes in general and complications are common. Although talar fracture is common and comprises the second most common tarsal fracture, bilateral fracture - dislocations of the talus are rare. Not many reports regarding the subject can be found in the literature.

Case presentation: We report a patient with bilateral fracture - dislocations of the talus treated by open reduction and internal fixation. This patient was a 25 year-old man who sustained bilateral fracture - dislocation of the talus due to a motor vehicle accident.

Conclusions: Bilateral talar fracture - dislocation is rare. The surgical approach discussed together with the pathomechanics of this injury can yield good short term results.

No MeSH data available.


Related in: MedlinePlus