Three Cases of Open Total Talus Dislocation

DOI 5 References Open Access
  • Nishino Yuichiro
    Department of Orthopaedic Surgery, Nagasaki University Hospital, Nagasaki, Japan
  • Miyamoto Takashi
    Department of Orthopaedic Surgery, Nagasaki University Hospital, Nagasaki, Japan
  • Fukushima Tatsuya
    Department of Orthopaedic Surgery, Nagasaki University Hospital, Nagasaki, Japan
  • Taguchi Kenji
    Department of Orthopaedic Surgery, Nagasaki University Hospital, Nagasaki, Japan
  • Osaki Makoto
    Department of Orthopaedic Surgery, Nagasaki University Hospital, Nagasaki, Japan

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  • 距骨周囲開放脱臼の3例

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Open total talus dislocation is relatively rare but the choice of treatment is controversial. We experienced three male cases of open total talus dislocation, between November 2009 and August 2011, whose mean age was 40.5 years. Average follow-up was 14.5 months. The mechanisms of injury included motor-vehicle collision (two patients), and fall from a height (one). We performed open reduction and used external fixator on the same day. Infection and osteoarthritis occurred in two patients but all patients acquired independent gait without avascular necrosis. Sufficient informed consent about possible complications was needed.

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