Journal of Trauma and Injury

Case Report

Open total talar dislocation treated with reimplantation of the talus and reverse adipofascial sural flap: a case report: Antonio Gilli, Maria Gabriella Lettera, Neomi Stefanetti, Georgios Touloupakis, Emmanouil Theodorakis, Elisa Pernigotti, Guido Antonini; J Trauma Inj. 2025;38(3):280-284. Published online August 22, 2025; DOI: https://doi.org/10.20408/jti.2025.0010

2,725 View
50 Download
1 Web of Science
1 Citations

Talar extrusion is an extremely rare injury, with few cases described in the literature. Treatment options vary and are primarily determined by the degree of soft tissue involvement and the surgeon’s experience. Good or acceptable outcomes have been reported with talar reimplantation, even in cases of open dislocations with severe contamination. However, a high complication rate has been observed, with infections and avascular necrosis of the talus representing the most frequent complications. The aim of this study is to present a case of open talar dislocation that was successfully treated. An 18-year-old male patient with an open talar extrusion and severe soft tissue damage was treated with reimplantation of the talus, yielding favorable results. Soft tissues were simultaneously reconstructed using a reverse adipofascial sural flap. The patient remained infection-free, and no signs of avascular necrosis were observed 1 year after the trauma.

Summary

Citations

Citations to this article as recorded by

Midshaft tibial osteotomy and bone transport for tibiocalcaneal arthrodesis
Sunwen Pan, Bo Wang, Zeyu Zhao, Xiaokang Gong, Yueliang Zhu, Zhen Shi
Frontiers in Surgery.2026;[Epub] CrossRef

First
Prev
Page of 1
Next
Last

Search