Quantitative assessment and Kirschner-wire fixation of an isolated sustentaculum tali fracture in a 7-year-old girl—a case report

This case underscores the indispensability of CT in the identification of occult sustentaculum tali fractures in pediatric patients. The quantitative parameters observed herein indicate the necessity for patient-specific evaluation protocols. K-wire fixation presents distinct advantages in the pediatric population, notably minimally invasive surgical approach and subsequent facile hardware extraction. Precise anatomical reduction remains paramount for the preservation of hindfoot biomechanics in skeletally immature patients. Although this investigation offers valuable technical insights, multi-institutional prospective studies are warranted to establish definitive surgical criteria and standardized management algorithms.