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World J Orthop. Jun 18, 2023; 14(6): 379-386
Published online Jun 18, 2023. doi: 10.5312/wjo.v14.i6.379
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
MedialDorsiflexion and eversion of footTalar head, extensor digitorum brevisOllier’s approach or anterolateral approach
LateralPlantarflexion and inversion of footFlexor digitorum longus and tibialis posteriorDirect incision atop of talar head
PosteriorPlantarflexion of foot and once talar head disengages from navicular, the foot is dorsiflexed and tractioned distally
AnteriorPosterior translation of foot whilst under traction