Abstract
Talar fractures are uncommon and talar body fracture dislocations are still rare. Simultaneous fractures of the ankle and the talar body are rare and the reported incidence in the literature is fewer than 1% of the ankle fractures. We present two cases of patients, who sustained a simultaneous fracture dislocation of talar body with fracture of medial malleolus and/or tibial pilon. The patients were treated with open reduction and internal fixation of talus through the malleolar fracture. They were evaluated at 1 year (case 1) and 8 years (case 2) of follow-up. The prognosis after this fracture dislocation is poor because of the very high risk of avascular necrosis and arthritis, even after anatomic reduction.
Similar content being viewed by others
References
Adelaar RS (1989) The treatment of complex fractures of the talus. Orthop Clin North Am 20:691–707
Coltart WD (1952) Aviator’s astragalus. J Bone Joint Surg 34-B:545–566
Devalia KL, Ismaiel AH, Joseph G, Jesry MGH (2006) Fourteen years follow up of an unclassified Talar body fracture with review of literature. Foot Ankle Surg 12:85–88
Harnroongroj T, Vanadurongwan V (1997) The talar body prosthesis. J Bone Joint Surg Am 79:1313–1322
Kuner EH, Lindenmaier HL, Munst P (1993) Talus fractures. In: Tscherne H, Schatzker J (eds) Major fractures of the Pilon, the Talus, and the Calcaneus: current concepts of treatment. Springer, Berlin, pp 71–85
Mendonca AD, Maury AC, Makwana NK (2004) A simultaneous fracture of the tibia and talar body. Foot Ankle Surg 10:45–47
Lindvall E, Haidukewych G, Dipasquale T, Herscovici D, Sanders R (2004) Open reduction and stable fixation of isolated, displaced talar neck and body fractures. J Bone Joint Surg 86-A(10):2229–2234
Peterson L, Goldie IF, Irstam L (1977) Fracture of the neck of the talus. A clinical study. Acta Orthop Scand 48:696–706
Rottcher T, Lange K, Reinbold WD, Kuhn H (1994) Sagittal burst fracture of the talus. Radiologe 34(12):759–761
Shah K, Hakmi A (2004) Unusual ankle injury. A case report. The Foot 14:169–172
Sneppen O, Christensen SB, Krogsoe O et al (1977) Fracture of the body of the Talus. Acta Orthop Scand 48:317–324
Conflict of interest statement
No funds were received in support of this study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Mnif, H., Zrig, M., Kammoun, M.H. et al. Fracture dislocation of the talus combined with pilon or bimalleolar fracture: a report of two cases. Eur J Orthop Surg Traumatol 19, 361–365 (2009). https://doi.org/10.1007/s00590-009-0437-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00590-009-0437-7