Talocalcaneal transfixation in total dislocation of the talus and subtalar dislocations.

We present 4 cases of talus dislocation. In one case we had open total lateral dislocation of the talus and in 3 other cases we had closed subtalar dislocation (disruption of the talocalcaneal and talonavicular joints). Reposition of the dislocation was made and talocalcaneal transfixation completed with 3 Kirschner wires, placed like a spread fan, under fluoroscopic control. Reoccurring dislocations were not experienced nor were there signs of avascular necrosis in these 4 cases.