{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T16:02:53Z","timestamp":1790611373711,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,6,1]],"date-time":"2015-06-01T00:00:00Z","timestamp":1433116800000},"content-version":"vor","delay-in-days":31,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:p>This review summarizes the treatment and resulting outcomes for total talar dislocation. The <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>ub<jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ed database was searched for articles about humans with total talar dislocation published in the <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>nglish language in the last twenty years. The following data were entered into a <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>icrosoft <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>xcel spreadsheet: type of dislocation, nature of associated fractures (if any), type of reduction\/fixation utilized, immobilization, weight\u2010bearing status, outcome, complications and average follow\u2010up time. Thirty\u2010nine articles reporting a total of 86 cases of total talar dislocation are included in this review. Seventy\u2010three of these were open injuries and 13 closed. Forty\u2010three cases had an associated foot or ankle fracture, 32 of those cases specifically having a fracture of the talus. The talus was preserved in the initial management of 74 cases, whereas the remaining 12 cases were managed by primary talectomy. The mean duration of follow\u2010up was 32 months. Twenty\u2010two cases required a secondary arthrodesis or another additional procedure. A good outcome was achieved in 35% of cases, a fair outcome in 37% and a poor outcome in 27%. The complication of avascular necrosis (<jats:styled-content style=\"fixed-case\">AVN<\/jats:styled-content>) occurred in 22 cases and 14 subjects developed clinically significant osteoarthritis. Generally, the outcome of current treatments associated with total talar dislocation is not ideal, only 1\/3 of cases achieving good outcomes. So far, preservation of the talus is the best treatment option. <jats:styled-content style=\"fixed-case\">AVN<\/jats:styled-content> is still a relatively common complication even in the absence of fracture or postoperative infection.<\/jats:p>","DOI":"10.1111\/os.12167","type":"journal-article","created":{"date-parts":[[2015,6,1]],"date-time":"2015-06-01T06:44:26Z","timestamp":1433141066000},"page":"97-101","source":"Crossref","is-referenced-by-count":50,"title":["A Systematic Review of Total Dislocation of the Talus"],"prefix":"10.1111","volume":"7","author":[{"given":"John T.","family":"Weston","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery University of Toledo Medical Center  Toledo Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaochen","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery University of Toledo Medical Center  Toledo Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghan E","family":"Wandtke","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery University of Toledo Medical Center  Toledo Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiayong","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery University of Toledo Medical Center  Toledo Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nabil E","family":"Ebraheim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery University of Toledo Medical Center  Toledo Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,6]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181d03b73"},{"key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"283","DOI":"10.2106\/00004623-196951020-00007","article-title":"Total dislocation of the talus","volume":"51","author":"Detenbeck LC","year":"1969","journal-title":"J Bone Joint Surg Am"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/107110070402500309"},{"key":"e_1_2_7_5_1","first-page":"838","article-title":"Closed total talus dislocation: a case report","volume":"77","author":"Heylen S","year":"2011","journal-title":"Acta Orthop Belg"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2009.01.008"},{"key":"e_1_2_7_7_1","doi-asserted-by":"crossref","first-page":"1370","DOI":"10.2106\/00004623-198062080-00018","article-title":"Total dislocation of the talus. 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