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Surgical Fixation of Navicular Body Fractures

Teasdall, Robert D. MD; Allen, Pamela G. MD

Techniques in Foot & Ankle Surgery: June 2007 - Volume 6 - Issue 2 - p 108-112
doi: 10.1097/01.btf.0000235416.51876.36
Techniques

ABSTRACT Fractures of the navicular are not common. However, they can have significant associated long-term morbidity. Authors have emphasized the importance of an accurate and anatomical reduction of the talonavicular joint, owing to its importance in normal hind foot function. Displaced fractures are best treated with open reduction and internal fixation in an attempt to achieve an anatomical reduction of the talonavicular joint. Techniques of reduction and fixation vary with the fracture pattern. The goal of treatment should be to provide an anatomical reduction with adequate fixation, to preserve the function of the talonavicular joint, and to maintain the length of the medial column. By doing so, mid foot function will be restored, and the incidence of chronic pain will be decreased. This article reviews the diagnosis, treatment, and surgical technique of fixation of navicular body fractures.

Wake Forest University School of Medicine, Winston-Salem, NC

Address correspondence and reprint requests to Robert D. Teasdall, MD, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157. E-mail: teasdall@wfubmc.edu.

© 2007 Lippincott Williams & Wilkins, Inc.