Talus dislocations are rare injuries associated with high-energy trauma and open fractures, with surgery often being necessary. Pure total talar dislocations are even rarer and there is no protocol regarding treatment of these lesions.
We present a case of a 45-year-old male with an open bilateral pantalar dislocation with no fracture associated. Surgical reduction and fixation with Steinman pins was performed. At 2 years of follow-up, the patient presented with good ankle range of motion and a congruent ankle joint bilaterally.
This case highlights that prompt diagnosis and early management of pantalar dislocations are essential to reduce early and late complications.