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

Autor: Sayegh FE; 3rd Orthopaedic Department, Aristotle University of Thessaloniki, Papageorgiou General Hospital, N. Efkarpia, Thessaloniki, Greece., Nikolaides AP, Anagnostidis KS, Kapetanos GA
Jazyk: angličtina
Zdroj: Foot (Edinburgh, Scotland) [Foot (Edinb)] 2009 Jun; Vol. 19 (2), pp. 125-9. Date of Electronic Publication: 2009 Apr 17.
DOI: 10.1016/j.foot.2008.11.001
Abstrakt: A bilateral talar body fracture-dislocation in a 29-year-old multitrauma patient is presented. There was a comminuted fracture associated with an ankle, subtalar and talonavicular subluxation on the right lower limb and an open fracture with complete dislocation of the body of talus on the left side. We performed a minimal invasive reduction and stabilization of the fractures with the use of K-wires, due to severe contamination of the wounds and the patient's poor general condition. After a 28-month follow-up there were signs of posttraumatic arthritis but no signs of avascular necrosis of the talus bilaterally. The range of motion in both ankle joints was limited but the patient had a satisfactory level of activity.
Databáze: MEDLINE