The results of the surgical treatment for total talus dislocation
Gabuniia, G.V.
Georgian Medical News 227: 20-23
2014
ISSN/ISBN: 1512-0112 PMID: 24632641 Document Number: 678501
The purpose of the research was to study the results of surgical treatment for rare and severe injury, such as the total talus dislocation and determine the causes of complications. The study was based on findings from dynamic observations of 15 patients with this type of musculoskeletal pathology, who underwent surgical treatment in three multi-profile medical facilities of Kutaisi during 2005-2013 years. Statistical results were as follows: men - 12, women -3. Patients age range 29-51 years. Trauma was mainly caused by motor vehicle accidents and falls. Three patients had a sports injury. There were 6 cases of an open dislocation of the talus. Complex surgical treatment strategy has been discussed. The author has studied the early and late complications of the surgical reduction of total talus dislocation during treatment and rehabilitation periods. Based on the observations and the data obtained from the reviewed literature we have concluded that outcomes of the surgical treatment of total talus dislocation in most cases are not satisfactory and often become the cause of limb dysfunction and repeated reconstructive surgery due to the later developed aseptic necrosis and arthrosis. Given the anatomical specificity of the talus, satisfactory results of the treatment are directly depended on a timely surgical intervention after the trauma as well as on a comprehensive postoperative rehabilitation.