Treatment of an open medial tibiotalar dislocation with no associated fracture

Preetinder S. Bhullar, Daniel R. Grant, Mark Foreman, Chad A. Krueger

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Tibiotalar dislocations without associated fractures are very uncommon in adults, and only a few studies have been published regarding this injury. More than 50% of these dislocations will be posteromedial, with a high incidence of open injuries, and 25% are pure posterior dislocations. In the present report, we discuss our experience and management of a medial tibiotalar dislocation with no associated fracture. In the present case, the patient was brought to the operating room on presentation to our facility and underwent irrigation and debridement with primary closure of his wound. He was immobilized postoperatively. The patient tolerated the operation well and did not sustain any postoperative complications. He was able to regain function of the injured extremity until he was lost to follow-up. Regarding treatment, the surgery should be speedy, gentle to the soft tissue, and with as little implanted material as possible. Although we do not advocate that our management and treatment of this injury become the standard, the present case provides a good example of some of the challenges often encountered when treating these injuries.

Original languageEnglish (US)
Pages (from-to)768-773
Number of pages6
JournalJournal of Foot and Ankle Surgery
Volume53
Issue number6
DOIs
StatePublished - Nov 1 2014
Externally publishedYes

Fingerprint

Wounds and Injuries
Therapeutics
Lost to Follow-Up
Debridement
Operating Rooms
Extremities
Incidence

Keywords

  • Injury
  • Medial talar dislocation
  • Open dislocation
  • Talus
  • Tibia
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Treatment of an open medial tibiotalar dislocation with no associated fracture. / Bhullar, Preetinder S.; Grant, Daniel R.; Foreman, Mark; Krueger, Chad A.

In: Journal of Foot and Ankle Surgery, Vol. 53, No. 6, 01.11.2014, p. 768-773.

Research output: Contribution to journalArticle

Bhullar, Preetinder S. ; Grant, Daniel R. ; Foreman, Mark ; Krueger, Chad A. / Treatment of an open medial tibiotalar dislocation with no associated fracture. In: Journal of Foot and Ankle Surgery. 2014 ; Vol. 53, No. 6. pp. 768-773.
@article{9670aaf7ae9844ac9a12c077a57fbdd4,
title = "Treatment of an open medial tibiotalar dislocation with no associated fracture",
abstract = "Tibiotalar dislocations without associated fractures are very uncommon in adults, and only a few studies have been published regarding this injury. More than 50{\%} of these dislocations will be posteromedial, with a high incidence of open injuries, and 25{\%} are pure posterior dislocations. In the present report, we discuss our experience and management of a medial tibiotalar dislocation with no associated fracture. In the present case, the patient was brought to the operating room on presentation to our facility and underwent irrigation and debridement with primary closure of his wound. He was immobilized postoperatively. The patient tolerated the operation well and did not sustain any postoperative complications. He was able to regain function of the injured extremity until he was lost to follow-up. Regarding treatment, the surgery should be speedy, gentle to the soft tissue, and with as little implanted material as possible. Although we do not advocate that our management and treatment of this injury become the standard, the present case provides a good example of some of the challenges often encountered when treating these injuries.",
keywords = "Injury, Medial talar dislocation, Open dislocation, Talus, Tibia, Trauma",
author = "Bhullar, {Preetinder S.} and Grant, {Daniel R.} and Mark Foreman and Krueger, {Chad A.}",
year = "2014",
month = "11",
day = "1",
doi = "10.1053/j.jfas.2014.06.031",
language = "English (US)",
volume = "53",
pages = "768--773",
journal = "Journal of Foot and Ankle Surgery",
issn = "1067-2516",
publisher = "Academic Press Inc.",
number = "6",

}

TY - JOUR

T1 - Treatment of an open medial tibiotalar dislocation with no associated fracture

AU - Bhullar, Preetinder S.

AU - Grant, Daniel R.

AU - Foreman, Mark

AU - Krueger, Chad A.

PY - 2014/11/1

Y1 - 2014/11/1

N2 - Tibiotalar dislocations without associated fractures are very uncommon in adults, and only a few studies have been published regarding this injury. More than 50% of these dislocations will be posteromedial, with a high incidence of open injuries, and 25% are pure posterior dislocations. In the present report, we discuss our experience and management of a medial tibiotalar dislocation with no associated fracture. In the present case, the patient was brought to the operating room on presentation to our facility and underwent irrigation and debridement with primary closure of his wound. He was immobilized postoperatively. The patient tolerated the operation well and did not sustain any postoperative complications. He was able to regain function of the injured extremity until he was lost to follow-up. Regarding treatment, the surgery should be speedy, gentle to the soft tissue, and with as little implanted material as possible. Although we do not advocate that our management and treatment of this injury become the standard, the present case provides a good example of some of the challenges often encountered when treating these injuries.

AB - Tibiotalar dislocations without associated fractures are very uncommon in adults, and only a few studies have been published regarding this injury. More than 50% of these dislocations will be posteromedial, with a high incidence of open injuries, and 25% are pure posterior dislocations. In the present report, we discuss our experience and management of a medial tibiotalar dislocation with no associated fracture. In the present case, the patient was brought to the operating room on presentation to our facility and underwent irrigation and debridement with primary closure of his wound. He was immobilized postoperatively. The patient tolerated the operation well and did not sustain any postoperative complications. He was able to regain function of the injured extremity until he was lost to follow-up. Regarding treatment, the surgery should be speedy, gentle to the soft tissue, and with as little implanted material as possible. Although we do not advocate that our management and treatment of this injury become the standard, the present case provides a good example of some of the challenges often encountered when treating these injuries.

KW - Injury

KW - Medial talar dislocation

KW - Open dislocation

KW - Talus

KW - Tibia

KW - Trauma

UR - http://www.scopus.com/inward/record.url?scp=84908477148&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84908477148&partnerID=8YFLogxK

U2 - 10.1053/j.jfas.2014.06.031

DO - 10.1053/j.jfas.2014.06.031

M3 - Article

C2 - 25135103

AN - SCOPUS:84908477148

VL - 53

SP - 768

EP - 773

JO - Journal of Foot and Ankle Surgery

JF - Journal of Foot and Ankle Surgery

SN - 1067-2516

IS - 6

ER -