Novel Technique for Osteosynthesis of Tongue-Type Calcaneus Fractures in Osteoporotic Bone: A Case Report
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Updated: Nov 24, 2025
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Henry H Yu1, Kyle S Ardavanis1, Joseph T Durso1
1Department of Orthopaedic Surgery, Madigan Army Medical Center, Joint Base Lewis-McChord, Washington.
Case:
A 75-year-old woman with osteoporosis sustained a low-energy mechanism tongue-type calcaneus fracture. Index surgical fixation with conventionally described cannulated screws was complicated by early screw pull-out despite concomitant Achilles lengthening procedure. Using a novel technique, revision fixation was performed using a 5.0-mm condyle bolt from a retrograde femoral nail system and 2 cannulated screws. She recovered uneventfully and demonstrated union at 7 months postoperatively.
Conclusion:
Osteosynthesis of tongue-type calcaneus fractures using a condyle bolt can be a practical and readily available solution for primary and revision scenarios in osteoporotic tongue-type calcaneus fractures.
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