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VOLUME 1 , ISSUE 2 ( April-June, 2015 ) > List of Articles

CASE REPORT

Closed Pan-talar Dislocation with Posterior Talar Process Fracture

M Pramod Kumar, KM Gopinath, BN Roshan Kumar, GA Gautham Balaji

Citation Information : Kumar MP, Gopinath K, Kumar BR, Balaji GG. Closed Pan-talar Dislocation with Posterior Talar Process Fracture. J Med Sci 2015; 1 (2):32-35.

DOI: 10.5005/jp-journals-10045-0009

Published Online: 00-06-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Case report

We present a case of pan-talar dislocation of the left talus in a 25-year-old road accident victim, with posterior talar process fracture. Reduction of dislocation was attempted in emergency department by external manipulation. Reduction process failed, and hence planned for reduction under anesthesia. It required a open reduction after a unsuccessful closed reduction attempt. The talus after reduction was found to be unstable hence, stabilized with trans-calcaneotalar Steinmann pin. At 1-year follow-up, the right ankle was pain free and stable. Motion was satisfactory. The talus after a follow-up of 1 year did not show any signs of subluxation or avascular necrosis.

Conclusion

The main obstacle to closed reduction appeared to be talus had button holed through dorsal fascia. The talus after reduction was found to be unstable hence stabilized with trans-calcaneotalar Steinmann pin. The management of the associated fracture will depend on many factors, particularly displacement of the fracture fragments.

How to cite this article

Kumar MP, Gopinath KM, Kumar BNR, Balaji GAG. Closed Pan-talar Dislocation with Posterior Talar Process Fracture. J Med Sci 2015;1(2):32-35.


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