Cannulated cancellous screw fixation for the management of sustentaculum tali fracture: A case report

Abstract

Introduction An isolated sustentaculum tali fracture is a rare manifestation of orthopaedic injury involving the supporting bone of the middle calcaneal facet. Globally, the incidence is estimated to be less than 1% of all calcaneus fractures. Presentation of case We reported a 42-year-old man with persistent ankle pain and instability on the right foot following a week after a motorcycle accident. The Computed tomography evaluation showed an avulsion of the medial sustentaculum tali on the right calcaneus bone. An open reduction and internal fixation procedure was performed using two cannulated cancellous screws applied across the lateral wall through the sustentaculum bone medially. The subjective postoperative evaluation showed that the patient responded well and gradually returned to daily routine activities without pain and instability. Discussion and conclusion Surgical approach using the cannulated cancellous screw to establish a firm fixation of sustentaculum tali fracture fragment into calcaneus bone and to prevent pathological movement .

Fracture of The Sustentaculum Tali: Features and Surgical Management for Fracture Reduction

“…The patient comes to the hospital with a history of RTA or fall, is usually not weight-bearing, and complains of pain around the medial malleolus. 6 Some patients can walk with an antalgic gait and appear in an emergency. 17 Historically, this fracture is mostly conservatively managed with plaster because it was thought to be an extra-articular fracture and minimal displacement-mandated nonsurgical management.…”

“…5 Wrong management causes long-term complications leading to permanent disability which affects the patient's quality of life. 6 The spring ligament is attached to the inferior aspect of the sustentaculum tali, which supports the longitudinal arch. 7 Isolated fractures of sustentaculum tali are usually uncommon.…”