{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T15:15:55Z","timestamp":1767453355445},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T00:00:00Z","timestamp":1723593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T00:00:00Z","timestamp":1723593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Total talus dislocation without ankle (malleoli) fracture is a very rare injury with prevalence of only 0.06% of all dislocations and only 2% of talar injuries, and are usually associated with common complications such as infection, avascular necrosis, and posttraumatic arthritis. The treatment usually involves debridement, reduction, stabilization of the ankle joint, and primary or secondary closure of the wound.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We present the case of a 40-year-old South Asian woman who was involved in an accident. She was rushed to our hospital, whereby subsequent examination revealed an open total talus dislocation with the talus being exposed in its entirety from a contaminated wound in the medial side. Furthermore, radiograph confirmed total talus dislocation without concomitant malleoli fracture. She was immediately taken to the operating theater whereby debridement and immediate reduction was performed under anesthesia, and the ankle was stabilized with external fixator for about 6\u00a0weeks. She is now able to bear weight on the affected ankle with minimal tolerable pain and has normal range of motion of the ankle.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Open total talus dislocation without concomitant malleoli fracture is a rare injury. Reduction of the talus in combination with complete wound debridement potentially successfully avoids infection, provides early revascularization preventing avascular necrosis, and preserves the normal ankle anatomy.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-024-04632-x","type":"journal-article","created":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T00:02:37Z","timestamp":1723593757000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Open total talus dislocation without concomitant malleoli fracture: a case report"],"prefix":"10.1186","volume":"18","author":[{"given":"Sameer","family":"Lamichhane","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajiv","family":"Maharjan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pramesh","family":"Thapa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Binit","family":"Dhakal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amit","family":"Dhungana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,8,14]]},"reference":[{"issue":"8","key":"4632_CR1","first-page":"633","volume":"22","author":"J Benjamin","year":"2011","unstructured":"Benjamin J, Nick R, Amit P. Total dislocation of the talus. Eur J Orthop Surg Traumatol. 2011;22(8):633\u20137.","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"3","key":"4632_CR2","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1053\/j.jfas.2009.01.008","volume":"48","author":"J Lee","year":"2009","unstructured":"Lee J, Hamilton G. Complete talar extrusion: a case report. J Foot Ankle Surg. 2009;48(3):372\u20135.","journal-title":"J Foot Ankle Surg"},{"issue":"Suppl 2","key":"4632_CR3","doi-asserted-by":"publisher","first-page":"SB36","DOI":"10.1016\/j.injury.2004.07.010","volume":"35","author":"R Wagner","year":"2004","unstructured":"Wagner R, Blattert TR, Weckbach A. Talar dislocations. Injury. 2004;35(Suppl 2):SB36\u201345.","journal-title":"Injury"},{"key":"4632_CR4","doi-asserted-by":"publisher","first-page":"324","DOI":"10.7205\/MILMED-D-00-8408","volume":"174","author":"R Pavic","year":"2009","unstructured":"Pavic R. Talocalcaneal transfixation in total dislocation of the talus and subtalar dislocations. Mil Med. 2009;174:324\u20137.","journal-title":"Mil Med"},{"key":"4632_CR5","first-page":"1","volume":"12","author":"MA Hardy","year":"2008","unstructured":"Hardy MA, Chuida S. Open extrusion of the talus: a case report. Foot Ankle J. 2008;12:1.","journal-title":"Foot Ankle J"},{"issue":"8","key":"4632_CR6","doi-asserted-by":"publisher","first-page":"666","DOI":"10.2106\/JBJS.16.00986","volume":"99","author":"KA Boden","year":"2017","unstructured":"Boden KA, Weinberg DS, Vallier HA. Complications and functional outcomes after pantalar dislocation. J Bone Joint Surg Am. 2017;99(8):666\u201375.","journal-title":"J Bone Joint Surg Am"},{"key":"4632_CR7","doi-asserted-by":"publisher","first-page":"872","DOI":"10.2106\/00004623-194830040-00007","volume":"30-A","author":"WJ Newcomb","year":"1948","unstructured":"Newcomb WJ, Brav EA. Complete dislocation of the talus. J Bone Joint Surg Am. 1948;30-A:872\u20134.","journal-title":"J Bone Joint Surg Am."},{"key":"4632_CR8","first-page":"212","volume":"18-A","author":"JI Mitchell","year":"1936","unstructured":"Mitchell JI. Total dislocation of the astragalus. J Bone Joint Surg Am. 1936;18-A:212\u20134.","journal-title":"J Bone Joint Surg Am"},{"issue":"B","key":"4632_CR9","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1302\/0301-620X.52B1.36","volume":"52","author":"J Kenwright","year":"1970","unstructured":"Kenwright J, Taylor RG. Major injuries of the talus. J Bone Joint Surg. 1970;52(B):36\u201348.","journal-title":"J Bone Joint Surg."},{"key":"4632_CR10","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1186\/1752-1947-8-313","volume":"8","author":"M Azarkane","year":"2014","unstructured":"Azarkane M, Boussakri H, Alayyoubi A, Bachiri M, Elibrahimi A, Elmrini A. Closed medial total subtalar joint dislocation without ankle fracture: a case report. J Med Case Rep. 2014;8:313.","journal-title":"J Med Case Rep"},{"key":"4632_CR11","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1136\/emj.17.1.53","volume":"17","author":"E Krasin","year":"2000","unstructured":"Krasin E, Goldwirth M, Otremski I. Complete open dislocation of the talus. J Accid Emerg Med. 2000;17:53\u20136.","journal-title":"J Accid Emerg Med"},{"issue":"100154","key":"4632_CR12","first-page":"2667","volume":"2","author":"MD Liette","year":"2022","unstructured":"Liette MD, Bazeed M, Fadel M, Masadeh S. An open total talar dislocation with a checkrein deformity of the hallux without extrusion of the talus: a case report and literature review. J Foot Ankle Surg. 2022;2(100154):2667\u20133967.","journal-title":"J Foot Ankle Surg"},{"key":"4632_CR13","doi-asserted-by":"publisher","first-page":"3","DOI":"10.5704\/MOJ.1207.009","volume":"6","author":"E Tan","year":"2012","unstructured":"Tan E, Chua HS, Ooi CL, Zulkiflee O. Open total talus dislocation: a case report. Malays Orthop J. 2012;6:3.","journal-title":"Malays Orthop J"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-024-04632-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-024-04632-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-024-04632-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T00:02:58Z","timestamp":1723593778000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-024-04632-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,14]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["4632"],"URL":"https:\/\/doi.org\/10.1186\/s13256-024-04632-x","relation":{},"ISSN":["1752-1947"],"issn-type":[{"value":"1752-1947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,14]]},"assertion":[{"value":"9 April 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 June 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 August 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"379"}}