This devastating injury involves the junction between the hindfoot and the midfoot. Best treatment dictates accurate reduction, maintenance of column length and fixation.
Each injury is different and requires pre planning.
|Severely displaced/comminuted cuneiform fracture.|
- Severely displaced/comminuted cuneiform fracture
- Accurate reconstruction of foot shape preventing need for late reconstruction which is never as successful
|Basic surgical experience, no specialized skills|
|Some specialized surgical experience|
|Highly experienced and skilled surgeon|
|Basic equipment only|
|Simple surgical and imaging resources|
|Full specialized surgical and imaging resources|