Médecine et chirurgie du pied


Pure tibio-talar dislocation: syndesmotic screw stabilization Volume 35, issue 1, Mars 2019


We have reported the case of a 52-year-old man who has fallen from his height after a slip on a patch of ice. The radiographic report showed a pure tibio-talar dislocation without fracture. As a matter of urgency a reduction was realized under simple sedation. The control CT scanner showed a persistent diastasis. Secondary an osteosynthesis by a syndesmosis screw was performed, followed by an immobilization with a resin boot for 6 weeks. After 12 months, satisfying results were observed with a stable ankle and restored articular amplitude. Pure tibio-talar dislocations are extremely uncommon injuries, compared to dislocations with malleolar fractures. The surgical treatment should now be the rule including ligamentary suture or syndesmosis screw.