Localized naviculocuneiform arthrodesis combined with osteosynthesis of fracture nonunion of the tarsal navicular bone using a locked plating system.

Fujioka, Hiroyuki; Nishikawa, Tetsuo; Kashiwa, Kaori; Tsunemi, Kenjiro; Oi, Takanori; Takagi, Yohei; Tanaka, Juichi; Yoshiya, Shinichi · J Orthop · 2014

case_report · Level V

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Abstract

Navicular fracture is still challenging disorder to treat because there is a risk of nonunion, avascular necrosis and symptomatic osteoarthritis. 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. Localized naviculocuneiform arthrodesis using a locked plating system is one of the options to treat nonunion of the navicular bone.

Anatomy