Naviculocuneiform arthrodesis.
The adult acquired flatfoot is a challenging clinical entity with numerous procedures available to the surgeon for correction of the deformity. In a supple stage II flatfoot, naviculocuneiform arthrodesis with appropriate ancillary soft tissue augmentation and other adjunctive osseous procedures has proven effective with reproducible success. It may be used to balance a symptomatic flatfoot, re-establishing medial column stability and alignment while maintaining essential tri-tarsal joint motion. In addition to a review of the evidence-based medicine regarding this procedure, a detailed surgical technique is provided.
Budny
Adam M
AM
Department of Surgery, Saint Vincent Charity Hospital, 2351 East 22nd Street, Cleveland, OH 44115, USA. abudnydpm@gmail.com
Grossman
Jordan P
JP
D000328:Adult; D001174:Arthrodesis / Q000379:methods*; D005413:Flatfoot / Q000175:diagnosis / Q000601:surgery*; D005531:Foot Deformities, Acquired / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D013640:Tarsal Joints / Q000601:surgery*