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
Hauptverfasser: Toren, Adam J., DPM, AACFAS, Hahn, David B., MD, Brown, William C., MD, Stone, Paul A., DPM, FACFAS, Ng, Alan, DPM, FACFAS
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container_end_page 226
container_issue 2
container_start_page 221
container_title The Journal of foot and ankle surgery
container_volume 52
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. 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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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