A pure total dislocation of the talus from all its surrounding joints without a concomitant fracture is an extremely rare injury. Because of an inability to reduce this talus dislocation by closed methods, we performed an open reduction and stabilization with Steinmann pins. At 2-year follow-up, our patient had good functional and good roentgenographic results with no posttraumatic avascular necrosis of the talus or posttraumatic arthritis. To our knowledge, this is the first report regarding complete talar dislocation without an associated fracture.