Talar Neck and Sustentaculum Fracture Fixation.
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.
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.
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