Otevřená luxace talu
| Title in English | Open talar dislocation |
|---|---|
| Authors | |
| Year of publication | 2015 |
| Type | Article in Periodical |
| Magazine / Source | Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca |
| MU Faculty or unit | |
| Citation | |
| Web | http://www.achot.cz |
| Field | Traumatology and orthopaedic surgery |
| Keywords | open talar dislocation talar extrusion reimplantation |
| Description | PURPOSE OF THE STUDY Total talar extrusion is a rare injury. It is frequently asscociated with severe soft tissue injury. There is no concensus about appropriate treatment for an extruded talus. Total extrusion of the talus has a high possibility of avascular necrosis of the talus or infection. The primary goal of this study is the retrospective evaluation of patients with open total talar dislocation treated by immediate reimplantation. MATERIALS AND METHODS We evaluate six patients with mean age 29,6 years treated in Traumatological Hospital Brno with an open total talar dislocation. The dislocated talus was after debridement reduced and held in correct position by Kirschner wires and span with external fixation, two pins placed to calcaneus and two placed to distal tibia. The six patients were evaluated clinically and radiographically. Two patients underwent secondary reconstruction procedures. The four patients were evaluated with the AOFAS score. RESULTS The mean follow up period was 24,2 months (18-32). Two patients had an infection and one had avascular necrosis of the talus. One patient had to undergo arthrodesis of subtalar joint and one talectomy with tibiocalcaneal arthrodesis and callusdistraction of the tibia. CONCLUSION The primary reimplantation of the talus can produced good functional outcome. It is a reasonable to replace an extruded talus as soon as possible after debridement. The infection and avascular necrosis of the talus seems to be difficult to predict. Total talar extrusion is a rare injury. It is frequently asscociated with severe soft tissue injury. There is no concensus about appropriate treatment for an extruded talus. Total extrusion of the talus has a high possibility of avascular necrosis of the talus or infection. The primary goal of this study is the retrospective evaluation of patients with open total talar dislocation treated by immediate reimplantation. We evaluate six patients with mean age 29,6 years treated in Traumatological Hospital Brno with an open total talar dislocation. The dislocated talus was after debridement reduced and held in correct position by Kirschner wires and span with external fixation, two pins placed to calcaneus and two placed to distal tibia. The six patients were evaluated clinically and radiographically. Two patients underwent secondary reconstruction procedures. The four patients were evaluated with the AOFAS score. The mean follow up period was 24,2 months (18-32). Two patients had an infection and one had avascular necrosis of the talus. One patient had to undergo arthrodesis of subtalar joint and one talectomy with tibiocalcaneal arthrodesis and callusdistraction of the tibia. The primary reimplantation of the talus can produced good functional outcome. It is a reasonable to replace an extruded talus as soon as possible after debridement. The infection and avascular necrosis of the talus seems to be difficult to predict. |