| Title | Severe open subtalar dislocations. Long-term results. | | Author(s) | Goldner JL, Poletti SC, Gates HS, Richardson WJ | | Institution | Division of Orthopaedic Surgery, Duke University School of Medicine, Durham, North Carolina 27710, USA. | | Source | J Bone Joint Surg Am 1995 Jul; 77(7):1075-9. | | MeSH | Adolescent
Adult
Arthrodesis
Dislocations
Female
Follow-Up Studies
Humans
Male
Middle Aged
Osteonecrosis
Postoperative Complications
Retrospective Studies
Subtalar Joint
Treatment Outcome
| | Abstract | Fifteen adolescents and adults were assessed an average of eighteen years after a type-III open subtalar dislocation. There were ten lateral and five medial dislocations. Associated injuries included ten injuries of the tibial nerve, seven of which were complicated by causalgia; five ruptures of the posterior tibial tendon; five lacerations of the posterior tibial artery; twelve articular fractures involving the subtalar joint; three articular fractures of the talonavicular joint; three fractures of the talar dome; and three malleolar fractures. Osteonecrosis of the body of the talus was found in five of the fifteen patients. It was treated with a triple arthrodesis in all five patients, one of whom had a subsequent conversion to a pantalar arthrodesis. Subtalar arthrodesis was done, because of post-traumatic osteoarthrosis, in two other patients. On functional assessment at the long-term follow-up examination, all patients reported some pain in the ankle, nine had difficulty climbing stairs, fourteen had difficulty walking on uneven surfaces, and eleven wore modified shoes. The patients who had had a tarsal arthrodesis returned to their pre-injury occupation or to a less strenuous job. Four patients who had persistent causalgia did not return to work. We concluded that open subtalar dislocation is a distinctly severe injury and that only fair functional and poor anatomical results can be expected in most patients. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 7608231 |
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