Isolated Sustentaculum Tali Fracture in Polytrauma Patient

Authors: Naif Hakeem* , AL-Shareef H , Dr. AL-Jedani A and AL-Mohini I

DOI: 10.23880/jobd-16000280

Volume 9, Issue 1

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 21-year-old man with multiple injury including; comminuted displaced fracture of zygomatic maxillary area at the left orbit, left distal radius fracture, right femur segmental fracture and isolated left calcaneus sustentaculum tali fracture. An open reduction and internal fixation procedure was performed to fix the isolated sustentaculum tali fracture using cannulated cancellous screw. The subjective postoperative evaluation showed that the patient responded well and gradually returned to daily routine activities without pain or instability. Discussion and Conclusion: Surgical approach using the cannulated cancellous screw to establish a firm fixation of sustentaculum tali fracture fragment into calcaneus bone showed excellent result with good healing.

Keywords: Sustentaculum Tali; Cannulated Screw; Fracture; Rare Site Injury; Case Report

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