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Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

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Talar Neck and Sustentaculum Fracture Fixation.

Bo He¹, Rafael Neiman²

¹Orthopedic Surgery, Highland Hospital, Oakland, CA; and.

Journal of Orthopaedic Trauma

|July 6, 2021

Summary

Talar neck and sustentaculum fractures require careful surgical planning. This case demonstrates a dual-incision approach for effective fixation of combined talar neck and sustentaculum tali fractures.

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Area of Science:

Orthopedic Surgery
Trauma Surgery
Foot and Ankle Surgery

Background:

Talar neck fractures are infrequent injuries often caused by high-energy trauma.
Combined talar neck and sustentaculum tali fractures present unique surgical challenges.
Optimal fixation strategies are crucial for managing these complex injuries.

Observation:

A 57-year-old female sustained a Hawkins II talar neck fracture with an associated sustentaculum tali fracture after a motor vehicle accident.
The injury involved significant bony and soft tissue damage.

Findings:

A dual-incision approach was utilized for the talar neck fracture.
Medial screw fixation and lateral plate fixation were employed for the talar neck.
The sustentaculum tali fracture was successfully addressed with cannulated screws via a direct medial approach.

Implications:

This case highlights a viable surgical technique for managing combined talar neck and sustentaculum fractures.
The dual-incision approach allows for comprehensive fracture management.
Successful fixation can lead to improved patient outcomes in complex talar injuries.