Screw Placement Relative to the Calcaneal Fracture Constant Fragment: An Anatomic Study

Abstract Placement of a screw from the lateral wall of the calcaneus into the constant sustentaculum tali fragment can be difficult when surgically repairing a calcaneal fracture. This screw serves to compress the fracture fragments and support the posterior facet. This difficulty results from the s...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2015-05, Vol.54 (3), p.392-394
Main Authors: Bussewitz, Bradly W., DPM, FACFAS, Hyer, Christopher F., DPM, MS, FACFAS
Format: Article
Language:English
Subjects:
Adult
Bone Screws
Cadaver
calcaneus
Calcaneus - injuries
fracture
Fracture Fixation, Internal - methods
Fractures, Bone - surgery
Humans
Orthopedics
screw
sustentaculum tali
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Summary:Abstract Placement of a screw from the lateral wall of the calcaneus into the constant sustentaculum tali fragment can be difficult when surgically repairing a calcaneal fracture. This screw serves to compress the fracture fragments and support the posterior facet. This difficulty results from the small landing zone of the sustentaculum tali with its nearby vulnerable soft tissue structures. We present an anatomic study of 10 cadavers to determine a starting point and angle of screw advancement when placing a constant fragment screw.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2014.08.018