Abstract
IntroductionFracture - 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 PresentationWe 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.ConclusionsBilateral talar fracture - dislocation is rare. The surgical approach discussed together with the pathomechanics of this injury can yield good short term results.
Highlights
Fracture - dislocations of the talus are typically due to high energy injuries
Despite the fact that talus fractures constitute the second most common fractures involving the tarsal bones, bilateral fracture-dislocations of the talus can be considered rare and few cases have been reported [1, 2].The appropriate treatment suggested by most experts includes permanent anatomical reduction [3]
Soft tissue injuries are commonly seen in association with this fracture-dislocation
Summary
Despite the fact that talus fractures constitute the second most common fractures involving the tarsal bones, bilateral fracture-dislocations of the talus can be considered rare and few cases have been reported [1, 2].The appropriate treatment suggested by most experts includes permanent anatomical reduction [3]. Fracture-dislocations of the talus have poor prognoses [2, 4], and may be associated with complications such as avascular necrosis and posttraumatic arthritis in both subtalar and tibiotalar joints [5]. Soft tissue injuries are commonly seen in association with this fracture-dislocation. Simultaneous fractures of neck and body of the talus are rare and are thought to have serious outcomes. Due to the fact that fracture-dislocations of the talus are a result of high-energy impacts, these injuries are often seen in patients with multiple traumas. All these points should be taken into consideration while managing the patient. Open fracture-dislocations of the talus are treated urgently [5, 9]
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