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Updated: Jul 11, 2026

Microvascular Decompression: Salient Surgical Principles and Technical Nuances
Published on: July 5, 2011
Naviculocuneiform arthrodesis
Adam M Budny1, Jordan P Grossman
1Department of Surgery, Saint Vincent Charity Hospital, 2351 East 22nd Street, Cleveland, OH 44115, USA. abudnydpm@gmail.com
Abstract:
The adult acquired flatfoot is a challenging clinical entity with numerous procedures available to the surgeon for correction of the deformity. In a supple stage II flatfoot, naviculocuneiform arthrodesis with appropriate ancillary soft tissue augmentation and other adjunctive osseous procedures has proven effective with reproducible success. It may be used to balance a symptomatic flatfoot, re-establishing medial column stability and alignment while maintaining essential tri-tarsal joint motion. In addition to a review of the evidence-based medicine regarding this procedure, a detailed surgical technique is provided.
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