Fractures of the talar body are rare. Most are coronal or sagittal plane fractures. We present the case of a patient who sustained a simultaneous comminuted sagittal and coronal fracture of the body of the talus involving the postero-medial quadrant of the body with a fracture of the medial malleolus. He was treated with open reduction and internal fixation of the talus. Access was gained utilizing the medial malleolar fracture. At review after 6 months, he has returned to full function with no complications.