![]() Nevertheless, bigger sample size is required to further validate this position. Moreover, we further speculated that the displacement of the sustentacular fragment was considerably more probable to emerge in the higher-order Sanders classification. And the expertise of these fracture patterns may affect the progress of fixation concepts and surgical approaches. The finding disproves the ‘‘constant’’ theory of the sustentacular fragments, due to the fact that comminuted fracture of sustentaculum tali was rare. ![]() Moreover, this study provides a detailed description (displacement or articular dislocation) of the frequency of sustentacular fragments in ICFs. According to the research, 3D mapping demonstrated that most fracture lines start from the anterior of the sustentaculum tali, extending obliquely to the sulcus of the flexor halluces longus tendon. The relationship between sustentaculum tali and the talus was anatomically aligned in 71 (87.7%), and subluxation in 10 (12.3%). Overall, the sustentacular fracture in 21 (25.9%) of the 81 ICFs, 15 (71.4%) were nondisplaced, 6 (28.6%) were displaced, and mean coronal angulation was 21.9°, and no comminuted. By decreasing rebuilt fracture fragments to suit a model of the sustentaculum tali, a 3D map was generated. The subluxation, angulation, and translation of the portion of the sustentacular bone were noted. And the prevalence of sustentacular fractures was characterized in the sagittal or coronal CT planes. From January 2019 to December 2020, the CT images of sixty-seven patients with eighty-one ICFs were retrospectively evaluated, besides, basic patient demographics and mechanisms of injury were documented. Consequently, this study is designated with the purpose of defining the prevalence and displacement of sustentacular fractures in intra-articular calcaneal fractures (ICFs) applying computed tomography (CT) mapping in both two-dimensional (2D) and three-dimensional (3D) conditions. Yet there is a dearth of study on the anatomical patterns of the sustentacular segment. Physical therapy exercises will be initiated to restore movement.The sustentaculum tali are tightly bound to the talus by the interosseous and deltoid ligament complex and have been considered a ‘‘constant fragment”. After surgery, you may have to wear a cast for 6 to 8 weeks until complete healing. Surgical treatment: If the fractured bones have shifted out of position, your surgeon will suggest surgery to realign the fractured bones and stabilize the talus with metal plates and/or screws.You will be advised to perform exercises to help strengthen your foot and ankle and restore range of motion once the cast is removed. Nonsurgical treatment: If the bone has not moved out of alignment, your doctor will place your ankle in a cast for 6 to 8 weeks. ![]() ![]() What are the Treatment Options for Talus Fractures?īased on the findings, your doctor will treat talus fractures with either nonsurgical or surgical methods. When you present to the clinic with these symptoms, your doctor will perform a thorough physical examination and order an X-ray or CT scan to determine the location and severity of the fracture. What are the Symptoms of a Talus Fracture? How do Talus Fractures occur?įractures in the talus bone may occur due to a fall from a great height, motor vehicle accident or sports injury. The talus is a small bone at the ankle joint that connects the heel bone and the shinbones, enabling up and down movement of the foot. Home » Services » Talus Fracture Talus Fracture What is a Talus Fracture? ![]()
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