The Talus Fell Out — Total Talar Dislocation Explained ⏱ Chapters 0:00 Intro 1:15 A Bone With No Margin For Error 2:07 Count The Joints 2:48 Closed Tri-Articular Dislocation — AP And… 3:16 Reduce, Then Look 4:20 Before And After Reduction — The Associated… 5:05 The Number Everyone Quotes Is Wrong 6:45 Reimplanted Talus, Protected By External… 7:50 Surveillance And Salvage 8:43 Tibiocalcaneal Arthrodesis After Talar Loss… 9:30 Recap & sources Urgent reduction, the honest necrosis numbers, and never discarding the bone In this OrthoVellum master lecture • Reduce within hours — skin necrosis does not wait for imaging • Count the joints: all three, or it is not this injury • One gentle closed attempt; failure means open reduction • CT after reduction — most carry talar fractures needing fixation • Never discard the extruded talus: debride, reimplant, pin and span • Necrosis honestly: 4 of 21 reported — follow-up too short to trust Full clinical topic and references: https://orthovellum.com/topics/total-talar-dislocation Educational only — not individual medical advice. #orthopaedics #orthopedics #medicaleducation #orthovellum Orthovellum.com