Extract
Total extrusion of the talus with no remaining soft-tissue attachments, and
with the talus coming to lie outside the patient's body, is an
extremely rare injury. We were able to find the cases of only five such
patients in the
literature1-3,
and in only three of them was the talus reimplanted. Other case reports have
described patients who had sustained an open total dislocation with a thin
soft-tissue connection to the talus
remaining4-8,
and additional reports have provided no description as to the precise amount
of soft-tissue connection
remaining9,10.
It is important to realize that the many reports of so-called total talar
dislocation11-13
do not involve complete extrusion as we have defined it here. Our patient
represents the fourth reported case in which the talus was found outside the
body with no soft-tissue connections and was replaced following irrigation and
débridement of the bone and wound. This report relates the outcome at
five years and analyzes previous reports in the literature. Our patient was
informed that the data concerning the case would be submitted for
publication.