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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

Clinics in Podiatric Medicine and Surgery
|October 3, 2007
PubMed
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Naviculocuneiform arthrodesis effectively corrects supple stage II adult acquired flatfoot. This procedure restores medial column stability and alignment while preserving tri-tarsal joint motion, offering reproducible surgical success.

Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Reconstruction
  • Biomechanics

Background:

  • Adult acquired flatfoot presents complex surgical challenges.
  • Multiple operative techniques exist for deformity correction.
  • Supple stage II flatfoot requires specific reconstructive strategies.

Purpose of the Study:

  • To evaluate the efficacy of naviculocuneiform arthrodesis for stage II adult acquired flatfoot.
  • To detail the surgical technique and adjunctive procedures.
  • To review the evidence-based medicine supporting this intervention.

Main Methods:

  • Surgical technique for naviculocuneiform arthrodesis with soft tissue augmentation.
  • Inclusion of adjunctive osseous procedures as needed.
  • Review of current evidence-based literature.

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Main Results:

  • Naviculocuneiform arthrodesis demonstrates reproducible success in correcting stage II flatfoot.
  • The procedure effectively balances the foot and re-establishes medial column stability.
  • Essential tri-tarsal joint motion can be maintained post-operatively.

Conclusions:

  • Naviculocuneiform arthrodesis is a reliable procedure for supple stage II adult acquired flatfoot.
  • This technique restores alignment and stability while preserving motion.
  • It represents an effective surgical option for symptomatic flatfoot deformities.