Evidence map›Paper›PMID 40351644›Full record

ArticleJournal of orthopaedic case reports2025

Talus with Trimalleolar Fracture: A Three-planar Injury of Ankle Joint Complex: A Unique Case Report.

Santanu Kar, A S Pon Aravindhan, Ritvik Janardhanan, Nitish Jagdish Jyoti, Vijay Sharma, Madhan Jeyaraman

Abstract readCase Reports
In one paragraph

Article in Journal of orthopaedic case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Santanu KarDepartment of Orthopaedics, Subham Hospitals, Cooch Behar, West Bengal, India.
A S Pon AravindhanDepartment of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
Ritvik JanardhananDepartment of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
Nitish Jagdish JyotiDepartment of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
Vijay SharmaDepartment of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
Madhan JeyaramanDepartment of Orthopaedics, ACS Medical College and Hospital, Dr MGR Educational and Research Institute, Chennai, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Malleolar fractures are common, often bimalleolar/trimalleolar. Talus fractures are rare, with risks like avascular necrosis (AVN). Unique challenges arise, especially in combined injuries, sometimes needing ankle arthrodesis. Case Report: An 18-year-old male laborer presented with a history of fall from height and sustained injury over the right ankle. Imaging showed a talar body fracture with a trimalleolar fracture on the same ankle. After the subsidence of swelling at 9 days, the patient underwent open reduction and internal fixation using screws and plates for malleolar fracture and Herbert screw for talus fracture. At 1-year follow-up, the patient had adequate range of motion of the ankle which was painless without any signs of AVN. The patient underwent ankle arthrodesis at 5 years old as he developed severe pain in the joint. After 1 year of arthrodesis, the patient has pain-free motion of the ankle joint. Conclusion: Such fractures are rare with a unique mechanism of injury. There are chances of arthritis and instability owing to the variable cartilage damage and occult ligament injury. Stress radiographs after fracture union can help predict ankle instability. Internal fixation is the method of treatment in the acute setting, though the chances of late arthritis are high.

Indexed as

arthrodesisavascular necrosisinstabilityTrimalleolar

Identifiers

PMID40351644
PMCPMC12064227

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