Table 3.
Reduction methods as per dislocation anatomy
|
Direction of Dislocation
|
Reduction manoeuvre (in addition to traction)
|
Structures that commonly obstruct reduction
|
Open reduction approach
|
| Medial | Dorsiflexion and eversion of foot | Talar head, extensor digitorum brevis | Ollier’s approach or anterolateral approach |
| Lateral | Plantarflexion and inversion of foot | Flexor digitorum longus and tibialis posterior | Direct incision atop of talar head |
| Posterior | Plantarflexion of foot and once talar head disengages from navicular, the foot is dorsiflexed and tractioned distally | ||
| Anterior | Posterior translation of foot whilst under traction |