Management of a Displaced, Osteoporotic Cuboid Fracture: A Case Report

Area of Science:

• Orthopedic Surgery
• Traumatology
• Bone Health

Background:

• Cuboid fractures are uncommon midfoot injuries often associated with other articular disruptions.
• The cuboid's role in lateral column stability makes its fractures challenging to treat, with potential for complications.
• Displaced cuboid fractures lack a standardized surgical approach, especially in patients with poor bone quality.

Observation:

• A 43-year-old female patient with osteoporosis presented with a closed cuboid fracture-dislocation.
• Osteoporosis complicates fracture management, rendering traditional open reduction and internal fixation (ORIF) and plate fixation unsuitable.

Findings:

• The case report details the diagnostic process and surgical management strategy for this specific patient.
• The chosen surgical approach addressed the fracture-dislocation while considering the patient's compromised bone quality.

Implications:

• This case highlights the difficulties in treating cuboid fractures, particularly in osteoporotic individuals.
• It underscores the need for tailored surgical techniques when standard fixation methods are not viable.
• Further research into optimal surgical management for complex cuboid fractures in patients with poor bone density is warranted.