Vascularized Scapular Free Bone Graft after Nonunion of a Tarsal Navicular Stress Fracture: A Case Report
Abstract Nonunion of a tarsal navicular stress fracture, although relatively uncommon, is often amenable to open reduction and internal fixation. Furthermore, avascular necrosis of the navicular whether intact or occurring after fracture is rare, secondary to the adequate blood supply it receives. H...
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Veröffentlicht in: | The Journal of foot and ankle surgery 2013-03, Vol.52 (2), p.221-226 |
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container_title | The Journal of foot and ankle surgery |
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creator | Toren, Adam J., DPM, AACFAS Hahn, David B., MD Brown, William C., MD Stone, Paul A., DPM, FACFAS Ng, Alan, DPM, FACFAS |
description | Abstract Nonunion of a tarsal navicular stress fracture, although relatively uncommon, is often amenable to open reduction and internal fixation. Furthermore, avascular necrosis of the navicular whether intact or occurring after fracture is rare, secondary to the adequate blood supply it receives. However, persistent nonunion after primary surgical repair in conjunction with avascular necrosis often results in limited treatment options. Thus, the purpose of the present case report is to describe the surgical approach and complications of a vascularized scapular free bone graft for augmentation of revision talonavicular and naviculocuneiform arthrodesis. |
doi_str_mv | 10.1053/j.jfas.2012.12.010 |
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Furthermore, avascular necrosis of the navicular whether intact or occurring after fracture is rare, secondary to the adequate blood supply it receives. However, persistent nonunion after primary surgical repair in conjunction with avascular necrosis often results in limited treatment options. Thus, the purpose of the present case report is to describe the surgical approach and complications of a vascularized scapular free bone graft for augmentation of revision talonavicular and naviculocuneiform arthrodesis.</description><identifier>ISSN: 1067-2516</identifier><identifier>EISSN: 1542-2224</identifier><identifier>DOI: 10.1053/j.jfas.2012.12.010</identifier><identifier>PMID: 23321290</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; avascular necrosis ; Fracture Fixation, Internal ; Fractures, Stress - diagnostic imaging ; Fractures, Stress - surgery ; Fractures, Ununited - diagnostic imaging ; Fractures, Ununited - surgery ; Humans ; injury ; internal fixation ; Male ; Mueller-Weiss syndrome ; Orthopedics ; Osteonecrosis - surgery ; Radiography ; Reoperation ; Scapula - blood supply ; Scapula - transplantation ; stress fracture ; surgery ; Tarsal Bones - injuries ; Tarsal Bones - pathology ; Tarsal Bones - surgery</subject><ispartof>The Journal of foot and ankle surgery, 2013-03, Vol.52 (2), p.221-226</ispartof><rights>American College of Foot and Ankle Surgeons</rights><rights>2013 American College of Foot and Ankle Surgeons</rights><rights>Copyright © 2013 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-bd0308121527bebfe46b944b0baecac4ba7b972a1855713a1f7972c044aeedc43</citedby><cites>FETCH-LOGICAL-c411t-bd0308121527bebfe46b944b0baecac4ba7b972a1855713a1f7972c044aeedc43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1053/j.jfas.2012.12.010$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23321290$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Toren, Adam J., DPM, AACFAS</creatorcontrib><creatorcontrib>Hahn, David B., MD</creatorcontrib><creatorcontrib>Brown, William C., MD</creatorcontrib><creatorcontrib>Stone, Paul A., DPM, FACFAS</creatorcontrib><creatorcontrib>Ng, Alan, DPM, FACFAS</creatorcontrib><title>Vascularized Scapular Free Bone Graft after Nonunion of a Tarsal Navicular Stress Fracture: A Case Report</title><title>The Journal of foot and ankle surgery</title><addtitle>J Foot Ankle Surg</addtitle><description>Abstract Nonunion of a tarsal navicular stress fracture, although relatively uncommon, is often amenable to open reduction and internal fixation. Furthermore, avascular necrosis of the navicular whether intact or occurring after fracture is rare, secondary to the adequate blood supply it receives. However, persistent nonunion after primary surgical repair in conjunction with avascular necrosis often results in limited treatment options. Thus, the purpose of the present case report is to describe the surgical approach and complications of a vascularized scapular free bone graft for augmentation of revision talonavicular and naviculocuneiform arthrodesis.</description><subject>Adolescent</subject><subject>avascular necrosis</subject><subject>Fracture Fixation, Internal</subject><subject>Fractures, Stress - diagnostic imaging</subject><subject>Fractures, Stress - surgery</subject><subject>Fractures, Ununited - diagnostic imaging</subject><subject>Fractures, Ununited - surgery</subject><subject>Humans</subject><subject>injury</subject><subject>internal fixation</subject><subject>Male</subject><subject>Mueller-Weiss syndrome</subject><subject>Orthopedics</subject><subject>Osteonecrosis - surgery</subject><subject>Radiography</subject><subject>Reoperation</subject><subject>Scapula - blood supply</subject><subject>Scapula - transplantation</subject><subject>stress fracture</subject><subject>surgery</subject><subject>Tarsal Bones - injuries</subject><subject>Tarsal Bones - pathology</subject><subject>Tarsal Bones - surgery</subject><issn>1067-2516</issn><issn>1542-2224</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kVFr1TAUx4M43Jx-AR8kj770mnOa3rYiwnZxUxgb7E5fw2l6Cqm9zTVpB_PTm3qnDz4MEpID_98f8osQb0CtQBX5-37VdxRXqABXaSlQz8QJFBozRNTP012tywwLWB-LlzH2SiHWVfFCHGOeI2CtToT7TtHOAwX3i1u5tbRfBnkRmOW5H1leBuommTYHee3HeXR-lL6TJO8oRBrkNd27Pw1yOwWOMbFkpznwB3kmNxRZ3vLeh-mVOOpoiPz68TwV3y4-322-ZFc3l183Z1eZ1QBT1rQqVxUgFFg23HSs102tdaMaYktWN1Q2dYkEVVGUkBN0ZRqt0pqYW6vzU_Hu0LsP_ufMcTI7Fy0PA43s52gAq1qXCFWVoniI2uBjDNyZfXA7Cg8GlFkUm94sis2iOIEmKU7Q28f-udlx-w_56zQFPh4CnF557ziYaB2PllsX2E6m9e7p_k__4XZwo7M0_OAHjr2fw5j8GTAxAWa7fPLyx4BKFUWV578BIRaheg</recordid><startdate>20130301</startdate><enddate>20130301</enddate><creator>Toren, Adam J., DPM, AACFAS</creator><creator>Hahn, David B., MD</creator><creator>Brown, William C., MD</creator><creator>Stone, Paul A., DPM, FACFAS</creator><creator>Ng, Alan, DPM, FACFAS</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130301</creationdate><title>Vascularized Scapular Free Bone Graft after Nonunion of a Tarsal Navicular Stress Fracture: A Case Report</title><author>Toren, Adam J., DPM, AACFAS ; Hahn, David B., MD ; Brown, William C., MD ; Stone, Paul A., DPM, FACFAS ; Ng, Alan, DPM, FACFAS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-bd0308121527bebfe46b944b0baecac4ba7b972a1855713a1f7972c044aeedc43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>avascular necrosis</topic><topic>Fracture Fixation, Internal</topic><topic>Fractures, Stress - diagnostic imaging</topic><topic>Fractures, Stress - surgery</topic><topic>Fractures, Ununited - diagnostic imaging</topic><topic>Fractures, Ununited - surgery</topic><topic>Humans</topic><topic>injury</topic><topic>internal fixation</topic><topic>Male</topic><topic>Mueller-Weiss syndrome</topic><topic>Orthopedics</topic><topic>Osteonecrosis - surgery</topic><topic>Radiography</topic><topic>Reoperation</topic><topic>Scapula - blood supply</topic><topic>Scapula - transplantation</topic><topic>stress fracture</topic><topic>surgery</topic><topic>Tarsal Bones - injuries</topic><topic>Tarsal Bones - pathology</topic><topic>Tarsal Bones - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Toren, Adam J., DPM, AACFAS</creatorcontrib><creatorcontrib>Hahn, David B., MD</creatorcontrib><creatorcontrib>Brown, William C., MD</creatorcontrib><creatorcontrib>Stone, Paul A., DPM, FACFAS</creatorcontrib><creatorcontrib>Ng, Alan, DPM, FACFAS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of foot and ankle surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Toren, Adam J., DPM, AACFAS</au><au>Hahn, David B., MD</au><au>Brown, William C., MD</au><au>Stone, Paul A., DPM, FACFAS</au><au>Ng, Alan, DPM, FACFAS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vascularized Scapular Free Bone Graft after Nonunion of a Tarsal Navicular Stress Fracture: A Case Report</atitle><jtitle>The Journal of foot and ankle surgery</jtitle><addtitle>J Foot Ankle Surg</addtitle><date>2013-03-01</date><risdate>2013</risdate><volume>52</volume><issue>2</issue><spage>221</spage><epage>226</epage><pages>221-226</pages><issn>1067-2516</issn><eissn>1542-2224</eissn><abstract>Abstract Nonunion of a tarsal navicular stress fracture, although relatively uncommon, is often amenable to open reduction and internal fixation. 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subjects | Adolescent avascular necrosis Fracture Fixation, Internal Fractures, Stress - diagnostic imaging Fractures, Stress - surgery Fractures, Ununited - diagnostic imaging Fractures, Ununited - surgery Humans injury internal fixation Male Mueller-Weiss syndrome Orthopedics Osteonecrosis - surgery Radiography Reoperation Scapula - blood supply Scapula - transplantation stress fracture surgery Tarsal Bones - injuries Tarsal Bones - pathology Tarsal Bones - surgery |
title | Vascularized Scapular Free Bone Graft after Nonunion of a Tarsal Navicular Stress Fracture: A Case Report |
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