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Traumatic Loss of the Talus Treated with a Talar Body Prosthesis and Total Ankle ArthroplastyA Case Report
Bruno Magnan, MD1; Elisa Facci, MD1; Pietro Bartolozzi, MD1
1 Ortopedica Università di Verona, P.le L.A. Scuro 10, 37134 Verona, Italy. E-mail address for B. Magnan: brunomagnan@virgilio.it
The Journal of Bone & Joint Surgery.  2004; 86:1778-1782 
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Extract

Total talar dislocation is a rare injury1-6 that usually occurs as a result of a high-energy continuation of extreme supination forces causing lateral subtalar dislocation or extreme pronation forces causing medial subtalar dislocation7. Most of these injuries are open and are associated with a high rate of postreduction complications, such as persistent infection (reported in up to 89% of patients2), shearing osteochondral fractures (45%3), osteonecrosis (33% to 50%1,8,9), and severe degenerative arthritis5,6.
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