The Cuboid bone is an important stabiliser of the lateral column of the foot 1,and is involved in all intrinsic movements of midfoot and hind foot 2.Fractures of cuboid are uncommon. Hermel et al first reported five cases of the nutcracker fracture of the cuboid in 19533, which is still the largest series in the literature. Since then nine other cases of this type of fracture have been reported in the literature. However due to the rarity of this fracture there has been no consensus by orthopaedic surgeons worldwide as to which is the best way to manage this injury. We report a case of 56 year old man who sustained nutcracker fracture of cuboid, and was treated with a new technique, that combines ligamentotaxis, and minimal intervention using percutaneous 1.6 mm Kirchner wires to reduce and stabilise this injury. Case Report A 58-year-old truck driver was admitted with a crush injury to the right foot after the lorry tyre went over his foot from a medial to lateral direction. On examination the right foot was markedly swollen with no open wounds. There was no nerovascular deficit. The foot was immediately elevated and icepacks were applied to minimise the danger of impending compartment syndrome. Radiographs revealed a crush fracture of the body of the cuboid (figure I) with significant collapse of lateral half of the articular surface, and migration of the fifth metatarsal proximally into the cuboid.
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