Open total talus dislocation: A case report.

ABSTRACT

Total dislocation of the talus is a rare and severe injury. We report a case of 18-year-old man who sustained a Gustilo type IIIA open total talus dislocation when he had a car accident. Immediate surgical debridement and putting the dislocated talus into an ankle mortise were accomplished under antibiotic coverage. The ankle was immobilized for 12 weeks, and weight-bearing was restricted for 3 months. At the 6-month follow-up, the patient had both ankle septic arthritis and avascular necrosis of the talus. After treatment with antibiotics for 8 months, the septic arthritis was resolved. Finally, at 12 month follow-up, the patient had a good plantigraded foot even though avascular necrosis of talus was presented.