Astragalectomy, sometimes called a talectomy, is a surgical operation for removal of the talus bone (astragalus) for stabilization of the ankle.

Historically, an astragalectomy was used in cases of severe ankle trauma and congenial talipes equinovarus (clubfoot).

The surgery is also performed in severe cases of pulverized or infected open fractures.

Generally, the surgical procedure involves making an anterolateral incision, stripping the ligaments from both malleoli and the calcaneus so that the foot can be displaced posteriorly.

The foot is held in place with a surgical pin or with Kirschner wire.