Three years follow up of open medial sub-talar dislocation of ankle: a case report

Arunodhaya Siddharth; Rahul Gupta; Sheshagiri V.; Pramod B. M.; Shashi Kumar; Divya A. J.

doi:10.18203/issn.2455-4510.IntJResOrthop20233281

Authors

Arunodhaya Siddharth Department of Orthopaedics, JSSMC, JSSAHER, Mysore, Karnataka, India
Rahul Gupta Department of Orthopaedics, JSSMC, JSSAHER, Mysore, Karnataka, India
Sheshagiri V. Department of Orthopaedics, JSSMC, JSSAHER, Mysore, Karnataka, India
Pramod B. M. Department of Orthopaedics, JSSMC, JSSAHER, Mysore, Karnataka, India
Shashi Kumar Department of Orthopaedics, JSSMC, JSSAHER, Mysore, Karnataka, India
Divya A. J. Department of Orthopaedics, JSSMC, JSSAHER, Mysore, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20233281

Keywords:

Ankle and foot, Sub-talar dislocation, Open ankle dislocation

Abstract

Open medial sub-talar dislocation is a rare lesion in traumatology. Even after early treatment, these injuries progress to sub-talar arthrosis. Here we describe a case of 24 years male with open type 3B medial sub-talar dislocation with calcaneum sustentaculum tali fracture following road traffic accident. He underwent emergency wound debridement and internal fixation with K-wires and VAC application. He was on regular monthly follow-up for 6 months and then 6 monthly follow-ups till date. K-wires were removed 8 weeks after surgery and gradual range of movement was started. Partial weight bearing was started at 12 weeks. He was pain free and returned to work after 8 months. At 3 years follow up patient is able to walk without pain, normal painless ROM at ankle. To the best of our knowledge, long term follow-up of patient with these lesions is not reported. Here we present a case with 3 years follow-up showing good results in patient with open sub-talar dislocation after early management with internal fixation with K-wires and VAC dressing.

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