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- 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
- 1,367 View
- 31 Download
- 1 Citations
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Abstract
PDF - 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.
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Summary
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- 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
Original Article- Comparison of mortality between open and closed pelvic bone fractures in Korea using 1:2 propensity score matching: a single-center retrospective study
- Jaeri Yoo, Donghwan Choi, Byung Hee Kang
- J Trauma Inj. 2024;37(1):6-12. Published online January 3, 2024
- DOI: https://doi.org/10.20408/jti.2023.0063
- 8,751 View
- 124 Download
- 1 Web of Science
- 1 Citations
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Abstract
PDF
- Purpose
Open pelvic bone fractures are relatively rare and are considered more severe than closed fractures. This study aimed to compare the clinical outcomes of open and closed severe pelvic bone fractures.
Methods
Patients with severe pelvic bone fractures (pelvic Abbreviated Injury Scale score, ≥4) admitted at a single level I trauma center between 2016 and 2020 were retrospectively analyzed. Patients aged <16 years and those with incomplete medical records were excluded from the study. The patients were divided into open and closed fracture groups, and their demographics, treatment, and clinical outcomes were compared before and after 1:2 propensity score matching.
Results
Of the 321 patients, 24 were in the open fracture group and 297 were in the closed fracture group. The open fracture group had more infections (37.5% vs. 5.7%, P<0.001) and longer stays in the intensive care unit (median 11 days, interquartile range [IQR] 6–30 days vs. median 5 days, IQR 2–13 days; P=0.005), but mortality did not show a statistically significant difference (20.8% vs. 15.5%, P=0.559) before matching. After 1:2 propensity score matching, the infection rate was significantly higher in the open fracture group (37.5% vs. 6.3%, P=0.002), whereas the length of intensive care unit stay (median 11 days, IQR 6–30 days vs. median 8 days, IQR 4–19 days; P=0.312) and mortality (20.8% vs. 27.1%, P=0.564) were not significantly different.
Conclusions
The open pelvic fracture group had more infections than the closed pelvic fracture group, but mortality was not significantly different. Aggressive treatment of pelvic bone fractures is important regardless of the fracture type, and efforts to reduce infection are important in open pelvic bone fractures. -
Summary
Citations
Citations to this article as recorded by- Severe soft tissue injuries in multiple trauma patients—a challenge we can meet? A matched-pair analysis from the TraumaRegister DGU®
Nora Kirsten, Georg Maximilian Franke, Rolf Lefering, Tim Klüter, Matthias Weuster, Michael Müller, Sebastian Lippross, Andreas Seekamp, Stefanie Fitschen-Oestern
Frontiers in Medicine.2025;[Epub] CrossRef
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