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Post Traumatic Complications After Navicular Fractures.
Michael Swords1, Tim Schepers2
1Department of Orthopedic Surgery, Orthopedic Trauma, University of Michigan Health-Sparrow, Michigan Orthopedic Center, 3404 Patient Care Drive, Lansing, MI 48911, USA.
Navicular fractures are uncommon foot injuries impacting hindfoot function. This review covers strategies for managing complications like arthritis and nonunion following these complex fractures.
Area of Science:
- Orthopedic Surgery
- Podiatric Medicine
- Sports Medicine
Background:
- Navicular fractures are rare, yet critical to hindfoot and midfoot biomechanics.
- These fractures often occur with other injuries, complicating diagnosis and treatment.
- The navicular's anatomy presents challenges, including poor blood supply and extensive articular involvement.
Purpose of the Study:
- To review current management strategies for navicular fractures.
- To discuss common complications associated with navicular fractures.
- To provide an overview of treatment options for arthritis, malunion, nonunion, instability, and hardware issues.
Main Methods:
- Literature review of navicular fracture management.
- Analysis of strategies for addressing fracture complications.
- Synthesis of current evidence on surgical and non-surgical interventions.
Main Results:
- Navicular fractures require careful management due to inherent anatomical challenges.
- Complications such as nonunion and arthritis are significant concerns.
- Effective management strategies aim to restore function and prevent long-term morbidity.
Conclusions:
- Optimal management of navicular fractures involves addressing potential complications proactively.
- Further research may refine treatment protocols for these complex injuries.
- Restoring the integrity of the navicular bone is essential for normal foot function.
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