Talar extrusions are the rare extreme case of talar fractures and dislocations which are associated with high-energy trauma. Given the rarity of talar extrusion, no proper treatment protocol has been established. The earlier treatment outcomes have been poor due to the high rate of infection and avascular necrosis. However, more recent literature advised reimplanting the talus whenever practical, and providing with meticulous cleaning of the talus. In the presence of infection and severe trauma, tibiocalcaneal fusion achieved by the Ilizarov external fixator can be an effective salvage method.