Peritalar dislocation is treated first by a trial of closed reduction. If closed reduction fails, no further attempts should be done because soft-tissue entrapment is the cause of irreducibility. 4 Urgent intervention is mandatory to prevent skin necrosis that is caused by pressure of the dislocated talar head. After reduction, the joint usually is stable because of the fitting of the shape of the articular surfaces. Presence of instability after reduction indicates severe soft-tissue and ligamentous injury that needs repair and secured immobilization by cast or external fixator.