Complete dislocation of the talus: a case report using intraoperative 3D fluoroscopy.
BACKGROUND
In a complete dislocation of the talus, the talus is stripped of all its ligament connections in the triple articulated ankle joint. This case report describes the treatment and the 3-year follow-up of a complete dislocation of the talus with the use of intraoperative 3D imaging.


METHODS
The 19-year-old patient was involved as a driver in a car accident. After the radiological diagnosis of a complete talus dislocation, an emergency operation was performed due to the critical soft tissue condition. The ISO-C3D fluoroscope from the company Siemens (Erlangen, Germany) was utilized for reduction control.


RESULTS
Follow-up evaluations were completed three years after the treatment, the patient had no complaints.


CONCLUSIONS
Since these types of serious injuries are always combined with severe soft tissue damage, the main goals of this treatment have to be debridement and minimized iatrogenic surgical damage. By using intraoperative 3D imaging, immediate reduction control is available, so that revision operations can be avoided.


CONCLUSIONS
Complete dislocation of the talus is an extremely rare injury, which may cause serious complications. A fast and careful reduction, whether open or closed, should be the goal of treatment. Successful reduction can be determined intraoperatively with the use of 3D imaging.
Citak
Musa
M
Trauma Department, Hannover Medical School, Hannover, Germany. CitakM@hss.edu
Koulalis
Dimitrios
D
Haentjes
Jonas
J
Suero
Eduardo M
EM
Gaulke
Ralph
R
Krettek
Christian
C
Hüfner
Tobias
T
D000328:Adult; D005471:Fluoroscopy; D006801:Humans; D021621:Imaging, Three-Dimensional; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D013628:Talus / Q000000981:diagnostic imaging / Q000601:surgery*