Open Fracture-Dislocation of the Talar Body Concomitant with the Anterior Talofibular Ligament Rupture: A Case Report and Literature Review
Background: The talus bone is the second-largest bone in the tarsal region. Talar fractures are rare injuries that occur due to high- energy traumas. Open reduction and internal fixation (ORIF) is the treatment of choice in the talar body fracture-dislocation. Avascular necrosis (AVN), osteoarthrit...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2023-10-01
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| Series: | Journal of Orthopedic and Spine Trauma |
| Subjects: | |
| Online Access: | https://jost.tums.ac.ir/index.php/jost/article/view/402 |
| _version_ | 1797359824231464960 |
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| author | Shahin Talebi Shirin Sheibani Pedram Hassani Mojtaba Dehghan |
| author_facet | Shahin Talebi Shirin Sheibani Pedram Hassani Mojtaba Dehghan |
| author_sort | Shahin Talebi |
| collection | DOAJ |
| description |
Background: The talus bone is the second-largest bone in the tarsal region. Talar fractures are rare injuries that occur due to high- energy traumas. Open reduction and internal fixation (ORIF) is the treatment of choice in the talar body fracture-dislocation. Avascular necrosis (AVN), osteoarthritis (OA), malunion, non-union, skin infections, and ankylosis of the subtalar joint are complications that can happen following the talar body fracture.
Case Report: We reported a rare open fracture-dislocation of the talar body concomitant with the anterior talofibular ligament (ATFL) rupture in a 24-year-old motorcyclist man. ORIF with two 4.5 mm cancellous screws and ATFL repair were performed. After 6 months of follow-up, the radiographic bone union was achieved, and the patient had no complaints of pain, disability, and discomfort.
Conclusion: According to the blood supply of the talus bone, appropriate management and follow-up should be considered to prevent severe consequences. Due to the lack of literature on this lesion, in this report, we tried to provide more comprehensive information regarding the diagnosis, treatment, and follow-up of this group of patients. To the best of our knowledge, our case will probably be the second case of the talar body fracture concomitant with rupture of the ATFL.
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| first_indexed | 2024-03-08T15:29:20Z |
| format | Article |
| id | doaj.art-4d61112ec21a40859f5ae1baa0202f67 |
| institution | Directory Open Access Journal |
| issn | 2538-2330 2538-4600 |
| language | English |
| last_indexed | 2024-03-08T15:29:20Z |
| publishDate | 2023-10-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Orthopedic and Spine Trauma |
| spelling | doaj.art-4d61112ec21a40859f5ae1baa0202f672024-01-10T06:16:10ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002023-10-019310.18502/jost.v9i3.13039Open Fracture-Dislocation of the Talar Body Concomitant with the Anterior Talofibular Ligament Rupture: A Case Report and Literature ReviewShahin Talebi0Shirin Sheibani1Pedram Hassani2Mojtaba Dehghan3Orthopedic Surgeon, Taleghani Hospital Research Development Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Research Committee, School of Medicine, Mazandaran University of Medical Sciences, Sari, IranResearch Committee, School of Medicine, Mazandaran University of Medical Science, Sari, IranResident of orthopedic surgery, Orthopedic Research Center, Mazandaran University of Medical Science, Sari, Iran Background: The talus bone is the second-largest bone in the tarsal region. Talar fractures are rare injuries that occur due to high- energy traumas. Open reduction and internal fixation (ORIF) is the treatment of choice in the talar body fracture-dislocation. Avascular necrosis (AVN), osteoarthritis (OA), malunion, non-union, skin infections, and ankylosis of the subtalar joint are complications that can happen following the talar body fracture. Case Report: We reported a rare open fracture-dislocation of the talar body concomitant with the anterior talofibular ligament (ATFL) rupture in a 24-year-old motorcyclist man. ORIF with two 4.5 mm cancellous screws and ATFL repair were performed. After 6 months of follow-up, the radiographic bone union was achieved, and the patient had no complaints of pain, disability, and discomfort. Conclusion: According to the blood supply of the talus bone, appropriate management and follow-up should be considered to prevent severe consequences. Due to the lack of literature on this lesion, in this report, we tried to provide more comprehensive information regarding the diagnosis, treatment, and follow-up of this group of patients. To the best of our knowledge, our case will probably be the second case of the talar body fracture concomitant with rupture of the ATFL. https://jost.tums.ac.ir/index.php/jost/article/view/402TalusTarsal BoneLateral Collateral LigamentsOpen Fracture ReductionsInternal Fracture Fixations |
| spellingShingle | Shahin Talebi Shirin Sheibani Pedram Hassani Mojtaba Dehghan Open Fracture-Dislocation of the Talar Body Concomitant with the Anterior Talofibular Ligament Rupture: A Case Report and Literature Review Journal of Orthopedic and Spine Trauma Talus Tarsal Bone Lateral Collateral Ligaments Open Fracture Reductions Internal Fracture Fixations |
| title | Open Fracture-Dislocation of the Talar Body Concomitant with the Anterior Talofibular Ligament Rupture: A Case Report and Literature Review |
| title_full | Open Fracture-Dislocation of the Talar Body Concomitant with the Anterior Talofibular Ligament Rupture: A Case Report and Literature Review |
| title_fullStr | Open Fracture-Dislocation of the Talar Body Concomitant with the Anterior Talofibular Ligament Rupture: A Case Report and Literature Review |
| title_full_unstemmed | Open Fracture-Dislocation of the Talar Body Concomitant with the Anterior Talofibular Ligament Rupture: A Case Report and Literature Review |
| title_short | Open Fracture-Dislocation of the Talar Body Concomitant with the Anterior Talofibular Ligament Rupture: A Case Report and Literature Review |
| title_sort | open fracture dislocation of the talar body concomitant with the anterior talofibular ligament rupture a case report and literature review |
| topic | Talus Tarsal Bone Lateral Collateral Ligaments Open Fracture Reductions Internal Fracture Fixations |
| url | https://jost.tums.ac.ir/index.php/jost/article/view/402 |
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