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A fracture or dislocation of the talus is a life changing injury. Therefore, the management of the injury in a timely manner is, in my opinion, of the utmost importance.
Removal of the talus and fusion of the tibia onto the heel bone may seem somewhat excessive. That is not the case in practice.
In this case, we needed 14 months from the accident to the latest X-rays and videos - walking and riding a bike.