Treatment for displaced sustentaculum tali fractures

The Foot
Mohamed Ebrahim Ali Al-Ashhab, Amr Salem Elgazzar

Abstract

Sustentaculum tali fractures are rare foot fractures accounting for 1% of all calcaneal fractures, which accounts for about 1-2% of all bone fractures. Since the importance of sustentaculum tali in maintaining the medial foot arch, its fractures should be dealt with anatomical fixation to avoid post-traumatic arthrosis. Is to delineate the importance of sustentacular tali fractures fixation mentioning operative technique and the post-operative outcome. Ten cases with 10 consequent closed sustentaculum tali fractures were treated by ORIF. Nine of them were male gender. Patient's age was 27.6 (ranged 22-40). Of those 10 cases, 7 were isolated sustentaculum tali fractures, while 3 cases were associated by other fractures. All patients were followed-up with a follow-up period 52.8 months (ranged 24-84m). All fractures were united with a union rate 100%. Union appeared radiologically between 6-8 weeks post-operatively with an average 6.8 weeks. Isolated sustentacular fractures achieved post-operative 100 score while in the case with fractured talar neck, patient had a score 80, associated distal fibular fracture achieved 90 score, overall average score was 97 ranged 80-100. There was no recorded complication regarding to the operati...Continue Reading

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