47 year old woman sustained an auto accident and presented to the emergency room with an open subtalar joint subluxation of the right leg. It was noted on exam that the right leg, that the talus had completely subluxed from the ankle, talonavicular, and subtalar joint. It was also noted that pieces of rug and other debri were imbeded in the bone.
The patient was taken to the OR immediately and surgically treated with open reduction with external fixation of the right leg. The bone was curettaged and the ankle joint was pulse lavaged with copious amounts of normal saline and antibiotic solution. Cultures had been taken prior to the above.
looks painful 
