Vascularized scapular free bone graft after nonunion of a tarsal navicular stress fracture: a case report.

Abstract

Nonunion of a tarsal navicular stress fracture, although relatively uncommon, is often amenable to open reduction and internal fixation. Furthermore, avascular necrosis of the navicular whether intact or occurring after fracture is rare, secondary to the adequate blood supply it receives. However, persistent nonunion after primary surgical repair in conjunction with avascular necrosis often results in limited treatment options. Thus, the purpose of the present case report is to describe the surgical approach and complications of a vascularized scapular free bone graft for augmentation of revision talonavicular and naviculocuneiform arthrodesis.

• Authors: Adam J Toren, David B Hahn, William C Brown, Paul A Stone, Alan Ng
• Journal: The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons (J Foot Ankle Surg) Vol. 52 Issue 2 Pg. 221-6 ( 2013) ISSN: 1542-2224 [Electronic] United States
• PMID: 23321290 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2013 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

Topics

• Adolescent
• Fracture Fixation, Internal
• Fractures, Stress (diagnostic imaging, surgery)
• Fractures, Ununited (diagnostic imaging, surgery)
• Humans
• Male
• Osteonecrosis (surgery)
• Radiography
• Reoperation
• Scapula (blood supply, transplantation)
• Tarsal Bones (injuries, pathology, surgery)