[ORT-L] Navicular non-union - Orthopedics Forum


	MAIN INDEX	SEARCH POSTS	WHO'S ONLINE	LOG IN

Forum: OWL Lists: OTA:
[ORT-L] Navicular non-union

jeffrichmondmd at hotmail
New User

Apr 11, 2007, 6:25 AM

Post #1 of 1 (317 views)
Shortcut

[ORT-L] Navicular non-union	Can't Post

This is a 44 year old male laborer, smoker, who had his foot caught in a
forklift about a year ago. He had an ORIF and subsequent removal of hardware
and presented to me with severe midfoot pain. His medial column is grossly
unstable on exam but is passively correctable. Wounds are well healed, no
sign of infection.

I haven't found much literature on salvage for this. What next? Iliac crest
graft for structure with talo-navicular-cuneiform arthrodesis to restore the
medial column? Will this fuse as an isolated procedure and given the loss of
most of his subtalar motion, would a talocalcaneal arthrodesis improve his
chances of fusion?

Thanks
Jeff Richmond
Division of Orthopaedic Trauma
North Shore University Hospital
Manahsset, NY

Attachments:

SLEDGE,JAMES_FOOT LOW-EXM_03-12-07_#1.jpg (149 KB)

SLEDGE,JAMES_FOOT LOW-EXM_03-12-07_#2.jpg (183 KB)

SLEDGE,JAMES_FOOT LOW-EXM_03-12-07_#3.jpg (255 KB)

Search for (options)