Hiroyuki Fujioka1, Tetsuo Nishikawa2, Kaori Kashiwa3, Kenjiro Tsunemi3, Takanori Oi3, Yohei Takagi3, Juichi Tanaka3, Shinichi Yoshiya3. 1. Department of Physical Therapy, School of Rehabilitation, Hyogo University of Health Sciences, 1-3-6 Minatojima, Chuo-ku, Kobe 650-8530, Japan. 2. Nishikawa Orthopaedics and Rehabilitation Clinic, 1-2-1 Mukonoso-honmachi, Amagasaki 661-0031, Japan. 3. Department of Orthopaedic Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya 663-8501 Japan.
Abstract
AIMS: Navicular fracture is still challenging disorder to treat because there is a risk of nonunion, avascular necrosis and symptomatic osteoarthritis. PATIENTS METHODS AND RESULTS: A 40-year-old woman with an ununited fracture of the tarsal navicular bone was treated with localized naviculocuneiform arthrodesis (arthrodesis of the navicular, the middle cuneiform, and the lateral cuneiform). Fusion with the navicular, the middle cuneiform, and the lateral cuneiform as well as union of fracture of the navicular was confirmed on the radiographs. CONCLUSION: Localized naviculocuneiform arthrodesis using a locked plating system is one of the options to treat nonunion of the navicular bone.
AIMS: Navicular fracture is still challenging disorder to treat because there is a risk of nonunion, avascular necrosis and symptomatic osteoarthritis. PATIENTS METHODS AND RESULTS: A 40-year-old woman with an ununited fracture of the tarsal navicular bone was treated with localized naviculocuneiform arthrodesis (arthrodesis of the navicular, the middle cuneiform, and the lateral cuneiform). Fusion with the navicular, the middle cuneiform, and the lateral cuneiform as well as union of fracture of the navicular was confirmed on the radiographs. CONCLUSION:Localized naviculocuneiform arthrodesis using a locked plating system is one of the options to treat nonunion of the navicular bone.
Authors: Brandon J Child; Joel Hix; Alan R Catanzariti; Robert W Mendicino; Karl Saltrick Journal: J Foot Ankle Surg Date: 2009 May-Jun Impact factor: 1.286