Used to repair fracture through neck of talus. Longitudinal incision is made on anterior ankle with reflection of extensor digitorum longus tendons laterally and extensor hallucis longus tendons medially. The avascular body of talus is excised with a sliding graft from the anterior tibia made and then fitted into a transverse slot made in talar neck. To add stability while healing, a screw is placed to fix the proximal graft to the tibia and the fusion site is packed with cancellous bone grafts.