We present a rare case of complete talar extrusion after trauma. Treatment of this severe injury remains controversial as a result of the lack of congruent evidence-based literature, associated high complication rate with primary repair, and difficulty in objectively assessing long-term outcomes. Recent small sampled retrospective studies and isolated case reports have documented success with immediate reimplantation of the talus through using various health status questionnaires and serial radiographs. This case illustrates complete revascularization on 1-year follow-up magnetic resonance imaging of a completely extruded and fractured talus that underwent immediate reimplantation.
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