Calcaneonavicular bar resection. A retrospective review

Area of Science:

• Orthopedic Surgery
• Podiatric Medicine
• Foot and Ankle Surgery

Background:

• Calcaneonavicular coalition is a congenital condition causing foot pain and limited mobility.
• Surgical intervention is often considered for persistent symptomatic cases.
• Limited data exists on the efficacy of specific surgical techniques for this condition.

Purpose of the Study:

• To evaluate the clinical outcomes of calcaneonavicular bar resection.
• To assess the effectiveness of interposing the extensor digitorum brevis muscle.
• To determine the impact on patient symptoms and activity levels.

Main Methods:

• Retrospective case series of ten patients with painful calcaneonavicular coalition.
• Standardized surgical technique involving calcaneonavicular bar resection.
• Interposition of the extensor digitorum brevis muscle flap.
• Preoperative and postoperative symptom and activity level assessment via questionnaires.

Main Results:

• All ten patients reported significant improvement in preoperative pain.
• All patients demonstrated increased levels of physical activity post-surgery.
• No complications were reported during the follow-up period.

Conclusions:

• Calcaneonavicular bar resection with extensor digitorum brevis interposition is a successful treatment for painful coalitions.
• This surgical approach leads to substantial symptom relief and functional restoration.
• Further research with larger cohorts may validate these findings.