We herein report a patient with a Hawkins type 3 talus neck fracture because of a traffic accident. A 21year-old male patient had excessive soft tissue edema in his ankle and suspicious COVID-19 findings in thorax chest computed tomography. Therefore, spinal anesthesia was administered to the patient for the operation, in addition to intravenous midazolam for sedation. Under external fixation, the ankle joint was distracted, and the fracture was reduced. The fracture was fixed percutaneously with two cannulated screws. The operation was completed with two one-centimeter incisions. There was no postoperative edema. The patient was discharged with an external fixator one day later. Percutaneous screwing after closed reduction with external fixation can be a successful method in patients with soft tissue edema.

We here present an 11-year-old patient with bilateral Hawkins type 3 talus neck fractures resulting from a fall from height. When the patient was brought to the Emergency Department, the ankles were edematous and there were bilateral talus neck fractures with subtalar dislocation. The taluses on both sides were entered with anteromedial and anterolateral incisions, and after an open reduction, the fractures were fixed with one cannulated screw from the anterior and one from the posterior side. No additional edema developed. The patient was followed up for 2 days in the ward, then discharged with outpatient follow up recommendations. Pediatric bilateral talus neck fractures are rare and must be treated immediately.