1. BASSAM ALAHMADI Orthopedic Resident R5 King Fahad Hospital Madina KSA Case Presentation Total Talar Dislocation TTD

2. TTD History: 30 yrs old, otherwise healthy man. Presented with hx of FD 3-meters height in a construction hole. Axial load to the Rt ankle Twisting inj. to the Lt ankle

3. TTD P/E: ATLS protocol Lt foot> Deformity with marked prominence anterior the left malleolus. No open wounds. Signs of skin compromise. Delayed capillary refill. Neurologically is intact. Rt foot> Tenderness and swelling around the heel.

4. TTD

6. Treatment Closed reduction under anaesthesia with aid of calcaneal traction.

7. TTD Following closed reduction, how can we test for stability? Should we transfix the talus in a stable one? After how long an AVN can be developed?