Closed anterolateral total talar dislocation: a case report and technical notes

Abstract

Yousef A Alrashidi,1 Zubair A Wali,2 Khalid I Khoshhal11Department of Orthopedic Surgery, College of Medicine, Taibah University, 2Department of Orthopedic Surgery, King Fahd Hospital, Almadinah Almunawwarah, Saudi ArabiaBackground: Standard treatment of closed total talar dislocations (TTDs) is a controversial issue due to the rarity of the injury.Case presentation: We report a case of closed anterolateral TTD in a 30-year-old male treated successfully by a closed reduction technique with no radiological evidence of avascular necrosis on 1 year follow-up.Conclusion: Closed reduction has become the preferred modality of management of closed anterolateral TTD. This case supports, as found in recent literature, that closed reduction if possible in similar cases may yield a better outcome, although there is a need for high-level studies to prove the superiority of such a modality.Keywords: closed reduction, closed talar dislocation, complete talar dislocation, pantalar dislocation, talus, total talar dislocation