Journal of Functional Morphology and Kinesiology (Dec 2021)

The Use of Low-Profile Angular-Stability Plates in a “Nutcracker” Tarsal Navicular Fracture Combined with a Cuboid Fracture: ORIF Experience

  • Fabrizio Quattrini,
  • Corrado Ciatti,
  • Serena Gattoni,
  • Calogero Puma Pagliarello,
  • Francesco Ceccarelli,
  • Pietro Maniscalco

DOI
https://doi.org/10.3390/jfmk6040099
Journal volume & issue
Vol. 6, no. 4
p. 99

Abstract

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Background: Clear recommendations about the optimal treatment of traumatic tarsal navicular fractures are still very debated in the literature, and this is due to several factors: navicular fractures are rare and often misdiagnosed injuries, they are frequently associated with other fractures or a dislocation of the midfoot, and the current knowledge is based on few papers mainly considering a limited number of cases and dealing with different therapeutic approaches. The treatment of navicular body fractures is controversial and burdened by a high incidence of complications; in particular, Sangeorzan type III comminuted fractures represent a real challenge for the orthopedic surgeon. An accurate preoperative planning, a scrupulous surgical technique aimed at restoring volume and bony anatomy, and the use of low-profile angular-stability plates can lead to optimal clinical and functional results, decreasing the chances of arthritic evolution of mid-foot joints.

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