DOI: 10.36347/SJMCR.2019.v07i10.005

Pages: 611-613

Introduction:Total talus dislocation with loss of connection with the three joint facets is a rare injury and are fraught with a large number of complications, with a catastrophic prognosis and represents 2% of all talus lesions. A clinical case is presented herein, together with its clinical course and a review of the literature. Clinical case: A 20-year-old patient, falling from a height of 1 meter and a half on his heel, with the following mechanism: Forced inversion, resulting in firm trauma to the ankle with pain. A radiological assessment objective an enucleation of the talus with triple loss of relations. Patient admitted to the surgical block and an open reduction by antero-external incision is realized, the talus is just under the skin with interposion of the ligamentary bridles, tendons (extensor toes) and frondiform ligament, 2nd postero-internal incision for to approach the displaced fragment of the posterior tubercle and its osteosynthesis by screws and to complete with a plastered boot. Results: The patient did well and was immobilized initially with a plastered boot, The operative suites was simple. At the 4th week, partial support was allowed, and removal of the plaster performed at the 6th week. Total support was possible at week 12, with complete mobility, patient reviewed after one year without clinico-radiological signs of aseptic necrosis of the talus, or signs of arthrosis.