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Treatment for displaced sustentaculum tali fractures
Mohamed E Al-Ashhab1, Amr Salem Elgazzar1
1Orthopedics and Traumatology Department, Benha Faculty of Medicine, Benha University, Qualubia, Benha, Egypt.
Sustentaculum tali fractures, though rare, require anatomical fixation. Open reduction and internal fixation (ORIF) via a medial approach reliably restores foot arch integrity and function.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Foot and Ankle Surgery
Background:
- Sustentaculum tali fractures are uncommon, representing 1% of calcaneal fractures.
- These injuries are crucial due to the sustentaculum tali's role in maintaining the medial foot arch.
- Failure to achieve anatomical fixation can lead to post-traumatic arthrosis.
Purpose of the Study:
- To emphasize the significance of fixation for sustentaculum tali fractures.
- To detail the operative techniques employed.
- To report on the post-operative outcomes.
Main Methods:
- Open reduction and internal fixation (ORIF) was performed on 10 patients with closed sustentaculum tali fractures.
- The study included 9 males with an average age of 27.6 years.
- Follow-up averaged 52.8 months, with 7 isolated fractures and 3 associated fractures.
Main Results:
- All 10 fractures achieved radiological union within an average of 6.8 weeks (range 6-8 weeks).
- The overall average post-operative score was 97 (range 80-100), with isolated fractures scoring 100.
- No complications related to the surgical procedure were reported.
Conclusions:
- Sustentaculum tali fractures are rare, high-energy injuries often misdiagnosed.
- A high index of suspicion is necessary for prompt diagnosis.
- Medial approach ORIF is a reliable and effective treatment for these fractures.
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