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Medial approach to the calcaneus

Deep dissection
The sustentaculum is a bony prominence which is obvious once one is beneath the medial neurovascular structures. Usually, fixation is placed into the calcaneus immediately below the sustentaculum, which has been fractured and displaced plantarwards.

Image intensification will verify the surgeon’s position in this deep approach.
The small bony fragment mandates use of mini fragment fixation.