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Internal Fixation of a Displaced Tibial Sesamoid Fracture

Jay Riley DPM, MS1 and Marc Selner DPM2
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  • 1 Associate, American College of Foot and Ankle Surgeons; Kaiser Permanente Orthopedics Department, 5601 DeSoto Ave, Woodland Hills, CA 91365.
  • | 2 Diplomate, American Board of Podiatric Orthopedics and Primary Podiatric Medicine; private practice, Studio City, CA.
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The authors present a surgical technique for the preservation and repair of an acutely fractured sesamoid using internal fixation of the sesamoid. A case report demonstrating the technique for the open reduction and internal fixation of a fractured tibial sesamoid is presented. The authors recommend this procedure as a viable alternative to surgical excision of the tibial sesamoid. The use of the procedure as an adjunct for the surgical treatment of recalcitrant traumatic sesamoiditis is also discussed. (J Am Podiatr Med Assoc 91(10): 536-539, 2001)