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Complete open dislocation of the talus
  1. Elisha Krasin,
  2. Michal Goldwirth,
  3. Itzhak Otremski
  1. Department of Orthopaedics “A”, Tel-Aviv Sourasky Medical Centre affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
  1. Dr Elisha Krasin, Resident in Orthopaedic Surgery, Department of Orthopaedics “A”, Tel-Aviv Sourasky Medical Centre, 6 Weizman Street, Tel-Aviv 64239, Israel (e-mail: ekrasin{at}tasmc.health.gov.il)

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A 64 year old man fell from a ladder directly onto his right foot. Physical examination disclosed a wound on the lateral aspect of the ankle and the midfoot. The talus was completely dislocated and loosely connected to some soft tissue. There were no other apparent injuries except a non-displaced fracture of the fifth metatarsal head. After radiography of the injured area (fig 1A–C), the patient underwent surgery that involved a thorough irrigation of the wound, debridement of avascular skin and soft tissue, and reduction of the talus, followed by fixation by Steinmann pins and primary closure. The leg was placed …

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