Talar Trauma
A 28-year-old construction worker falls from a height and presents with severe right foot/ankle pain and deformity. Examination reveals a grossly deformed foot with the talus extruded medially through a 4cm wound. There is no distal pulse initially. X-rays confirm a total talar extrusion with the talus lying outside the foot. The wound is contaminated with concrete dust. Regarding total talar dislocation (pantalar dislocation) and its management:
Mark each as TRUE or FALSE
Total talar dislocation (pantalar dislocation) involves complete disruption of all three talar artic...
Immediate priorities in this case include: restoration of vascular flow with urgent reduction if abs...
The extruded talus should always be discarded regardless of contamination level; primary talectomy i...
Management options for the extruded talus include: meticulous debridement and reimplantation if viab...
For this patient with an open total talar extrusion, absent pulses, and contaminated wound: urgent r...
Answer the questions to see explanations
Click T (True) or F (False) for each option