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The Navicular Cuneiform Joint: Updates on Avoiding and Managing a Nonunion
Dominick Casciato1, Jacob Wynes1
1Department of Orthopaedics, Limb Preservation and Deformity Correction Fellowship, University of Maryland School of Medicine, Baltimore, MD, USA.
Abstract:
Naviculocuneiform arthrodesis, while often used to support the medial column during management of primary/post-traumatic arthritis, deformity correction, or in the surgical treatment of progressive collapsing foot deformity, can develop nonunion. Addressing this condition hinges on the assessment of various parameters such as patient/host factors and recognition of the etiology of the nonunion. In this article, methods of optimizing this surgical intervention through anatomic and physiologic considerations are highlighted. Further, information is provided to assist foot and ankle surgeons in performing a comprehensive work-up to allow for successful reconstruction and optimal patient outcomes.
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