{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T10:12:41Z","timestamp":1772187161381,"version":"3.50.1"},"reference-count":18,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:00:00Z","timestamp":1772150400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reports"],"abstract":"<jats:p>Background and Clinical Significance: Talar body fractures are very rare injuries, and their occurrence alongside ipsilateral fractures is even more uncommon. We present a case of a 40-year-old male who sustained a talar body fracture combined with an ipsilateral bimalleolar fracture after falling from a height, a combination previously described in only two cases. Case Presentation: Open reduction and internal fixation (ORIF) were performed using dual approaches for both the talus and malleolar fractures. Postoperatively, the rehabilitation protocol included a non-weight-bearing short leg cast, followed by partial weight-bearing with a controlled ankle movement (CAM) boot. At one-year follow-up, the patient achieved an American Orthopedic Foot and Ankle Society (AOFAS) score of 90 and reported minimal pain. Radiographs demonstrated minimal osteoarthritic changes and no signs of osteonecrosis. Nevertheless, early signs of osteonecrosis (ARCO grade I) were detected on MRI 15 months postoperatively. Conclusions: This case highlights the rarity of such injuries, outlines our institution\u2019s treatment approach, and emphasizes the importance of long-term follow-up to monitor for complications such as post-traumatic arthritis and osteonecrosis.<\/jats:p>","DOI":"10.3390\/reports9010071","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T08:31:19Z","timestamp":1772181079000},"page":"71","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rare Combination of Talar Body and Bimalleolar Fractures: A Case Report"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7664-1828","authenticated-orcid":false,"given":"Alexandros","family":"Tsioupros","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, \u201cVenizeleion\u201d General Hospital of Heraklion, 44 Leoforos Knossou, 71409 Heraklion, Crete, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8935-5566","authenticated-orcid":false,"given":"Constantinos","family":"Chaniotakis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, \u201cVenizeleion\u201d General Hospital of Heraklion, 44 Leoforos Knossou, 71409 Heraklion, Crete, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5818-0604","authenticated-orcid":false,"given":"Konstantinos","family":"Zampetakis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, \u201cVenizeleion\u201d General Hospital of Heraklion, 44 Leoforos Knossou, 71409 Heraklion, Crete, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Panagiotis","family":"Ioannou","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, \u201cVenizeleion\u201d General Hospital of Heraklion, 44 Leoforos Knossou, 71409 Heraklion, Crete, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3862-4826","authenticated-orcid":false,"given":"Ioannis","family":"Ktistakis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, \u201cVenizeleion\u201d General Hospital of Heraklion, 44 Leoforos Knossou, 71409 Heraklion, Crete, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,2,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"114","DOI":"10.5435\/00124635-200103000-00005","article-title":"Talus Fractures: Evaluation and Treatment","volume":"9","author":"Fortin","year":"2001","journal-title":"J. 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Trauma."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1007\/s10243-008-0158-3","article-title":"A talar body fracture combined with bimalleolar ankle fracture","volume":"24","author":"Elibrahimi","year":"2008","journal-title":"Med. Chir. Pied."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1007\/s00402-007-0475-8","article-title":"Talar body fracture combined with bimalleolar fracture","volume":"128","author":"Verettas","year":"2008","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2229","DOI":"10.2106\/00004623-200410000-00014","article-title":"Open Reduction and Stable Fixation of Isolated, Displaced Talar Neck and Body Fractures","volume":"86","author":"Lindvall","year":"2004","journal-title":"J. Bone Jt. 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Case Rep."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1097\/00003086-198607000-00048","article-title":"An unusual fracture of the talus associated with a bimalleolar ankle fracture. A case report and review of the literature","volume":"208","author":"Montane","year":"1986","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.ijscr.2019.10.010","article-title":"A rare combination of closed fracture of right talar body Sneppen 2 with associated medial malleolus: A case report","volume":"65","author":"Oesman","year":"2019","journal-title":"Int. J. Surg. Case Rep."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e45848","DOI":"10.1097\/MD.0000000000045848","article-title":"Talar neck fracture combined with comminuted medial malleolar fracture: A case report","volume":"104","author":"Zhang","year":"2025","journal-title":"Medicine"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.jcot.2016.10.003","article-title":"A rare combination of sagittal plane fracture of talar body with medial malleolus fracture: Case report and review of literature","volume":"7","author":"Arkesh","year":"2016","journal-title":"J. Clin. Orthop. Trauma"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1007\/s00113-007-1311-x","article-title":"Hawkins-Typ-III-Fraktur: Dislokation des Talus und Fraktur des Malleolus medialis behandelt durch distrahierende externe Fixation [Hawkins type III fracture: Dislocation of the talus and fracture of the medial malleolus treated by distraction external fixation]","volume":"111","author":"Milenkovic","year":"2008","journal-title":"Unfallchirurg"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/j.jcot.2014.05.003","article-title":"Unusual ankle fracture: A case report and literature review","volume":"5","author":"Mechchat","year":"2014","journal-title":"J. Clin. Orthop. Trauma"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1186\/1749-799X-5-92","article-title":"The Edinburgh variant of a talar body fracture: A case report","volume":"5","author":"Clement","year":"2010","journal-title":"J. Orthop. Surg. Res."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"136","DOI":"10.13107\/jocr.2025.v15.i05.5586","article-title":"Talus with Trimalleolar Fracture: A Three-planar Injury of Ankle Joint Complex: A Unique Case Report","volume":"15","author":"Kar","year":"2025","journal-title":"J. Orthop. Case Rep."}],"container-title":["Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2571-841X\/9\/1\/71\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T09:05:07Z","timestamp":1772183107000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2571-841X\/9\/1\/71"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,27]]},"references-count":18,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,3]]}},"alternative-id":["reports9010071"],"URL":"https:\/\/doi.org\/10.3390\/reports9010071","relation":{},"ISSN":["2571-841X"],"issn-type":[{"value":"2571-841X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,27]]}}}