Clinical and radiological outcomes of a cohort of 9 patients with anatomical fractures of the cuboid treated by locking plate fixation

Rony, Louis; Hermine, Pierre De Sainte; Steiger, Vincent; Ferchaud, François; Cronier, P.

doi:10.1016/j.otsr.2017.12.012

Cited by 6 publications

(1 citation statement)

References 13 publications

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“…For example, some authors support that Kirschner wires are more reliable in maintaining reduction than external fixation[39] whilst another postulates that fixation of the fractured cuboid bone with plates is preferable than screws, which are not associated with satisfactory results[25]. More sophisticated surgical approaches such as preoperative planning locking plates based on 3D CT may contribute to the anatomical reduction of the fracture and therefore may provide more favorable outcomes[40]. Still, further research is needed, including studies of high quality with a focus to resolve uncertainties of management and determine which patients could be treated non-operatively or are candidates to develop arthrosis and warrant primary fusion[19,39].…”

Section: Discussionmentioning

confidence: 99%

Update on diagnosis and management of cuboid fractures

Angoules

Georgoudis

et al. 2019

WJO

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Cuboid fractures due to the particular bone anatomy and its protected location in the midfoot are rare, and they are usually associated with complex injuries of the foot. Clinical examination to diagnose these fractures should be detailed and the differential diagnosis, especially in the case of vague symptoms, should include the exclusion of all lateral foot pain causes. Conventional radiographs do not always reveal occult fractures, which can be under diagnosed especially in children. In this case, further investigation including magnetic resonance imaging or scintigraphy may be required. The treatment of these injuries depends on the particular fracture characteristics. Non-displaced isolated fractures of the cuboid bone can be effectively treated conservatively by immobilization and by avoiding weight bearing on the injured leg. In the case of shortening of the lateral column > 3 mm or articular displacement > 1 mm, surgical management of the fracture is mandatory in order to avoid negative biomechanical and functional consequences for the foot and adverse effects such as arthritis and stiffness as well as painful gait. In this review, an update on diagnosis and management of cuboid fractures is presented.

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