Complete dislocation of the talus is an enigma in the realm of foot and ankle surgery. With the advent of airbags and other sophisticated safety features, more people are surviving motor vehicle accidents and presenting to the emergency department with talar fractures. Most surgeons are aware of the associated risks of avascular necrosis and infection, although large sample studies of talar fractures are scarce in the literature. Moreover, reports of total extrusion of the talus are limited to isolated cases. In this article, the case of a patient who experienced an open, complete talus dislocation, treated with immediate primary repair, is presented. Level of Clinical Evidence: 4