Severe open subtalar dislocations. Long-term results.

Published

Journal Article

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.

Full Text

Cited Authors

  • Goldner, JL; Poletti, SC; Gates, HS; Richardson, WJ

Published Date

  • July 1995

Published In

Volume / Issue

  • 77 / 7

Start / End Page

  • 1075 - 1079

PubMed ID

  • 7608231

Pubmed Central ID

  • 7608231

International Standard Serial Number (ISSN)

  • 0021-9355

Digital Object Identifier (DOI)

  • 10.2106/00004623-199507000-00015

Language

  • eng

Conference Location

  • United States