Pantalar dislocation occurs when the talus is dislocated from the ankle, subtalar, and talonavicular joints. An extruded talus is seen when the talus protrudes out of an open wound with little or no soft-tissue attachment. We describe a 62-year-old man who underwent debridement and irrigation for treatment of a pantalar dislocation with an extruded talus. About 1 year postoperatively, he underwent a below-knee amputation. This case highlights the difficulties and complications associated with this injury.

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