Talar Neck and Sustentaculum Fracture Fixation
1Orthopedic Surgery, Highland Hospital, Oakland, CA; and.
Journal of Orthopaedic Trauma
|July 6, 2021
Abstract
Summary:
Talar neck fractures are uncommon fractures that result from high-energy trauma causing bony and soft tissue injury. When combined with sustentaculum fractures, care must be taken to plan the approach and fracture fixation strategy. We present a 57-year-old woman who experienced a motor vehicle accident, sustaining a Hawkins II talar neck fracture with associated sustentaculum tali fracture. We demonstrate the dual-incision approach to the talar neck with medial screw and lateral plate fixation. The sustentaculum fixation was accomplished with cannulated screws through a direct medial approach.
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