Pantalar Intact Dislocation: A Systematic Review
Background: This scoping review analyzes the available literature on pure total talar dislocation, focusing on its epidemiology, clinical presentation, imaging techniques, surgical options, rehabilitation protocols, and complications. Methods: Following the PRISMA-ScR guidelines, a comprehensive sea...
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| Format: | Article |
| Language: | English |
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MDPI AG
2025-02-01
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| Series: | Journal of Functional Morphology and Kinesiology |
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| Online Access: | https://www.mdpi.com/2411-5142/10/1/55 |
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| author | Eleonora Dell’Agli Marco Sapienza Mirko Domenico Castiglione Maria Agata Musumeci Sebiano Pitronaci Andrea Sodano Vito Pavone Gianluca Testa |
| author_facet | Eleonora Dell’Agli Marco Sapienza Mirko Domenico Castiglione Maria Agata Musumeci Sebiano Pitronaci Andrea Sodano Vito Pavone Gianluca Testa |
| author_sort | Eleonora Dell’Agli |
| collection | DOAJ |
| description | Background: This scoping review analyzes the available literature on pure total talar dislocation, focusing on its epidemiology, clinical presentation, imaging techniques, surgical options, rehabilitation protocols, and complications. Methods: Following the PRISMA-ScR guidelines, a comprehensive search was conducted across the PubMed, Web of Science, and Scopus databases. The search yielded 185 articles, of which 30 satisfied the inclusion criteria and focused on pure total talar dislocation without fractures. Data from each study were extracted, including patient demographics, injury characteristics, treatment methods, and outcomes. Results: The studies included case reports, case series, and reviews. Despite the heterogeneity of the studies, the key findings suggest that early reduction, careful wound management, and soft tissue preservation are crucial in minimizing complications such as avascular necrosis (AVN), post-traumatic arthritis, and infection. The long-term outcomes varied, and the risk of AVN remained high, particularly in cases with compromised blood supply to the talus. Conclusions: Pure total talar dislocation is a rare and challenging condition with no established management protocol. While talar reimplantation and joint fixation offer promising outcomes in preserving function, the risk of complications, particularly AVN, remains significant. Additional research is necessary to standardize treatment protocols and improve clinical outcomes for this rare but severe injury. |
| format | Article |
| id | doaj-art-d0e9e60a234d49aaa09e318b7e3d76ae |
| institution | Kabale University |
| issn | 2411-5142 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Functional Morphology and Kinesiology |
| spelling | doaj-art-d0e9e60a234d49aaa09e318b7e3d76ae2025-08-20T03:43:39ZengMDPI AGJournal of Functional Morphology and Kinesiology2411-51422025-02-011015510.3390/jfmk10010055Pantalar Intact Dislocation: A Systematic ReviewEleonora Dell’Agli0Marco Sapienza1Mirko Domenico Castiglione2Maria Agata Musumeci3Sebiano Pitronaci4Andrea Sodano5Vito Pavone6Gianluca Testa7Department of General Surgery and Medical Surgical Specialties, Section of Orthopedics and Traumatology, A.O.U. Policlinico-San Marco, University of Catania, Via Santa Sofia 78, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopedics and Traumatology, A.O.U. Policlinico-San Marco, University of Catania, Via Santa Sofia 78, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopedics and Traumatology, A.O.U. Policlinico-San Marco, University of Catania, Via Santa Sofia 78, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopedics and Traumatology, A.O.U. Policlinico-San Marco, University of Catania, Via Santa Sofia 78, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopedics and Traumatology, A.O.U. Policlinico-San Marco, University of Catania, Via Santa Sofia 78, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopedics and Traumatology, A.O.U. Policlinico-San Marco, University of Catania, Via Santa Sofia 78, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopedics and Traumatology, A.O.U. Policlinico-San Marco, University of Catania, Via Santa Sofia 78, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopedics and Traumatology, A.O.U. Policlinico-San Marco, University of Catania, Via Santa Sofia 78, 95123 Catania, ItalyBackground: This scoping review analyzes the available literature on pure total talar dislocation, focusing on its epidemiology, clinical presentation, imaging techniques, surgical options, rehabilitation protocols, and complications. Methods: Following the PRISMA-ScR guidelines, a comprehensive search was conducted across the PubMed, Web of Science, and Scopus databases. The search yielded 185 articles, of which 30 satisfied the inclusion criteria and focused on pure total talar dislocation without fractures. Data from each study were extracted, including patient demographics, injury characteristics, treatment methods, and outcomes. Results: The studies included case reports, case series, and reviews. Despite the heterogeneity of the studies, the key findings suggest that early reduction, careful wound management, and soft tissue preservation are crucial in minimizing complications such as avascular necrosis (AVN), post-traumatic arthritis, and infection. The long-term outcomes varied, and the risk of AVN remained high, particularly in cases with compromised blood supply to the talus. Conclusions: Pure total talar dislocation is a rare and challenging condition with no established management protocol. While talar reimplantation and joint fixation offer promising outcomes in preserving function, the risk of complications, particularly AVN, remains significant. Additional research is necessary to standardize treatment protocols and improve clinical outcomes for this rare but severe injury.https://www.mdpi.com/2411-5142/10/1/55talar dislocationtalar injuryclinical presentationpantalar dislocationoutcomes |
| spellingShingle | Eleonora Dell’Agli Marco Sapienza Mirko Domenico Castiglione Maria Agata Musumeci Sebiano Pitronaci Andrea Sodano Vito Pavone Gianluca Testa Pantalar Intact Dislocation: A Systematic Review Journal of Functional Morphology and Kinesiology talar dislocation talar injury clinical presentation pantalar dislocation outcomes |
| title | Pantalar Intact Dislocation: A Systematic Review |
| title_full | Pantalar Intact Dislocation: A Systematic Review |
| title_fullStr | Pantalar Intact Dislocation: A Systematic Review |
| title_full_unstemmed | Pantalar Intact Dislocation: A Systematic Review |
| title_short | Pantalar Intact Dislocation: A Systematic Review |
| title_sort | pantalar intact dislocation a systematic review |
| topic | talar dislocation talar injury clinical presentation pantalar dislocation outcomes |
| url | https://www.mdpi.com/2411-5142/10/1/55 |
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