The enucleation of the talus is a rare lesion, very little described in the literature. It is a serious injury and the functional prognosis of the ankle is compromised by the high risk of osteonecrosis.
We report the exceptional case of a closed and antero-medial enucleation of the talus in a 28-year-old man who presented to our emergency department following a fall from a 5-meter hight.
Per-operative assessment revealed that the talus remained partially connected to the foot and ankle by capsular attachments. The talus was very carefully reduced so farther damage to the blood supply could be avoided. Then a navicular-talar pinning was achieved under fluoroscopy-control. A repair of the medial capsular-ligamentary structures was performed and a careful closure of the skin has been achieved.
An immobilization was associated for 8 weeks then the Kirschner wires were removed and a rehabilitation program of 8 weeks was indicated.
Ankle; talus; astragalus; dislocation; extrusion; enucleation; surgery; outcome.
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