Open Talar Neck Fracture With Medial Subtalar Joint Dislocation: A Case Report

J Foot Ankle Surg. 2019 Mar;58(2):392-397. doi: 10.1053/j.jfas.2018.08.049. Epub 2019 Jan 15.

Abstract

We present a unique case of an open talar neck fracture with medial subtalar joint dislocation. This rare and traumatic injury was treated with immediate open reduction of the subtalar joint and open reduction internal fixation of the talar neck fracture. After a follow-up of 2.2 years, highlighted by numerous complications including posttraumatic arthritis, soft tissue abscess, and fibrotic adhesions, the patient recovered sufficiently to return full activity.

Keywords: Hawkins type II; avascular necrosis; open fracture; osteonecrosis; subtalar joint dislocation; talar neck; trauma.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Accidental Falls*
  • Bone Screws
  • Emergency Service, Hospital
  • Follow-Up Studies
  • Fracture Fixation, Internal / instrumentation
  • Fracture Fixation, Internal / methods*
  • Fracture Healing / physiology
  • Fractures, Bone / diagnostic imaging
  • Fractures, Bone / surgery*
  • Fractures, Open / diagnostic imaging
  • Fractures, Open / surgery*
  • Humans
  • Injury Severity Score
  • Joint Dislocations / diagnostic imaging
  • Joint Dislocations / surgery*
  • Male
  • Middle Aged
  • Soft Tissue Injuries / diagnostic imaging
  • Soft Tissue Injuries / surgery
  • Subtalar Joint / injuries
  • Subtalar Joint / surgery
  • Talus / diagnostic imaging
  • Talus / injuries
  • Talus / surgery*
  • Treatment Outcome