{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T20:11:25Z","timestamp":1757621485976,"version":"3.44.0"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:p>Introduction: Talus fractures are uncommon and complex injuries associated with significant trauma and complications. The incidence of associated malleolar injury with talus fracture is rare.\n\nCase Report: We share this unusual case of a Hawkins type-3 talus neck fracture along with a serious Grade 3B medial malleolus fracture and ankle subluxation, which was treated with cleaning the wound, realigning the ankle, and surgery to fix the bones. Post-operatively, the wound was healthy and free of infection. Despite being told to avoid weight-bearing for three months, the patient lost follow-up after a month and started occasional partial weight bearing. During the 10th post-operative week, we found a mild degree of talar neck collapse and Hawkins sign radiologically. The range of motion for the ankle was dorsiflexion of 0\u201315\u00b0 and plantar flexion of 0\u201330\u00b0, with minimal swelling and pain on weight bearing.\n\nConclusion: This case highlights the rarity and complexity of a talar neck fracture with ipsilateral medial malleolar fracture and ankle dislocation. Positive early outcomes were achieved through timely surgery within 10 h, careful soft tissue management, and appropriate fixation. The presence of a partial Hawkins sign post-operatively indicated preserved talar vascularity and reduced risk of avascular necrosis.\nKeywords: Rare case of talus neck and medial malleolus fractures, compound injury, single anteromedial approach, ankle subluxation, good surgical outcome.<\/jats:p>","DOI":"10.13107\/jocr.2025.v15.i09.6098","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T13:59:22Z","timestamp":1757339962000},"page":"277-281","source":"Crossref","is-referenced-by-count":0,"title":["A Rare Case of Talus Neck and Open Medial Malleolus Fractures with Ankle Subluxation Treated using a Single Anteromedial Approach"],"prefix":"10.13107","volume":"15","author":[{"name":"Department of Orthopaedics, Saveetha Medical College, Thandalam, Chennai, Tamil Nadu - 602 105, India","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S Venkatesh","family":"Kumar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashwath Ahila","family":"Baskar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, Vinayaka Mission Kirupananda Variyar Medical College, Salem, Tamil Nadu, India,","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K G","family":"Sathyendra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, ESI-PGIMSR, New Delhi, India,","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramson","family":"Vasagan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, Saveetha Medical College, Thandalam, Chennai, Tamil Nadu - 602 105, India","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rupali Dnyandeo","family":"Solankey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, ESI-PGIMSR, New Delhi, India,","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rohini","family":"Venkatesh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Neurosurgery, Dhanalakshmi Srinivasan Medical College and Hospital, Perambalur, Tamil Nadu, India.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2025]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T13:59:23Z","timestamp":1757339963000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2025\/09\/anteromedial-tibia-plateau-fracture-without-significant-ligamentous-injury-treated-successfully-with-open-reduction-and-internal-fixation-a-case-report-2\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":0,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2025]]},"published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2025.v15.i09.6098","relation":{},"ISSN":["2321-3817"],"issn-type":[{"type":"electronic","value":"2321-3817"}],"subject":[],"published":{"date-parts":[[2025]]}}}