[Dislocations of the talus joints]

Unfallchirurg. 1989 Jul;92(7):335-45.
[Article in German]

Abstract

With the exception of fracture dislocations following fractures of the ankle joint and talus, dislocations in the talus are very infrequent injuries. They pose a lot of management problems: soft-tissue damage in open and closed dislocations, imperfect reduction caused by osteochondral fragments, recurrent instability, and aseptic necrosis of the talus, which is greatly feared. Anatomical and prognostic criteria are included in a classification of mono-, bi- and triarticular dislocations of the talus. Based on six of our own cases treated in the last 12 months, we report the mechanisms of injury, management, and early results. In accordance with the results in the literature in the last few years, reconstruction of ligament damage and joint debridement were carried out in four cases and the results described. One case of open total dislocation of the talus is presented, which was complicated by a fracture of the calcaneus without traumatic avascular necrosis.

MeSH terms

  • Ankle Injuries*
  • Follow-Up Studies
  • Humans
  • Joint Dislocations / surgery*
  • Ligaments, Articular / injuries
  • Postoperative Complications / etiology
  • Subtalar Joint / injuries*
  • Talus / injuries*