Complete talar extrusion is a rare and severe injury, typically resulting from high-energy trauma. This case report describes the management of a 19-year-old patient who sustained an open talar extrusion with associated fractures following a motorcycle accident. The extruded talar body was decontaminated and surgically reimplanted using pin fixation, followed by arthrodesis of the talonavicular, subtalar, and ankle joints. Despite the high risk of complications such as avascular necrosis (AVN) and infection, reimplantation was pursued to preserve ankle architecture and function. Early surgical debridement, rigid fixation, and staged soft tissue management were critical in minimizing infection risk. Although AVN and post-traumatic osteoarthritis remain significant concerns, salvage procedures may offer better functional outcomes compared to primary talectomy. This case highlights the importance of prompt intervention, meticulous surgical technique, and long-term follow-up in managing complete talar extrusions.
Abdennaji et al. (Sat,) studied this question.