Bennett Gordon L. M.D.; Weiner, Dennis S. M.D.; Leighley, Bonnie R.N., P.N.A.Journal of Pediatric Orthopaedics: July-August 1990 Surgical Treatment of Symptomatic Accessory Tarsal Navicular: PDF Only Buy Abstract Summary: We report a retrospective review of 50 consecutive patients (75 feet) with chronically symptomatic accessory tarsal naviculars that failed to improve with conservative treatment. Surgical treatment consisted of excision of the accessory tarsal navicular or medial protuberance of a prominent cornuate-shaped navicular combined with simple replication of the tibialis posterior tendon without altering its course. Good and excellent results were obtained in 45 (70 feet) of the 50 patients (90%). The procedure has a low rate of minor complications, is easy to perform, and is extremely well accepted by the patients. Address correspondence and reprint requests to Dr. D. S. Weiner at Department of Pediatric Orthopaedic Surgery, Children's Hospital Medical Center of Akron, 281 Locust St., Akron, OH 44308. © Lippincott-Raven Publishers.