Open Fracture-Dislocation of the Talar Body Concomitant with the Anterior Talofibular Ligament Rupture: A Case Report and Literature Review

Shahin  Talebi; Shirin Sheibani; Pedram Hassani; Mojtaba Dehghan

doi:10.18502/jost.v9i3.13039

Shahin Talebi Orthopedic Surgeon, Taleghani Hospital Research Development Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Shirin Sheibani Student Research Committee, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Pedram Hassani Student Research Committee, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Mojtaba Dehghan Resident, Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran

DOI: https://doi.org/10.18502/jost.v9i3.13039

Keywords: Talus; Tarsal Bone; Lateral Collateral Ligaments; Open Fracture Reductions; Internal Fracture Fixations

Abstract

Background: The talus bone is the second-largest bone in the tarsal region. Talar fractures are rare injuries that occur due to highenergy traumas. Open reduction and internal fixation (ORIF) is the treatment of choice in the talar body fracture-dislocation. Avascular necrosis (AVN), osteoarthritis (OA), malunion, non-union, skin infections, and ankylosis of the subtalar joint are complications that can happen following the talar body fracture.

Case Report: We reported a rare open fracture-dislocation of the talar body concomitant with the anterior talofibular ligament (ATFL) rupture in a 24-year-old motorcyclist man. ORIF with two 4.5 mm cancellous screws and ATFL repair were performed. After 6 months of follow-up, the radiographic bone union was achieved, and the patient had no complaints of pain, disability, and discomfort.

Conclusion: According to the blood supply of the talus bone, appropriate management and follow-up should be considered to prevent severe consequences. Due to the lack of literature on this lesion, in this report, we tried to provide more comprehensive information regarding the diagnosis, treatment, and follow-up of this group of patients. To the best of our knowledge, our case will probably be the second case of the talar body fracture concomitant with rupture of the ATFL.