Arthroscopically Assisted Treatment of Navicular Osteochondral Defect Using Flowable Collagen, Iliac Crest Bone Marrow Aspirate and Fibrin Glue: A Case Report.
A 32-year-old male recreational athlete presented with activity-related chronic dorsal midfoot pain. Conservative treatment, including a prolonged period of immobilization, physical therapy, nonsteroidal anti-inflammatory drugs, and use of a bone stimulator, failed to resolve his symptoms. Computed tomography and magnetic resonance imaging demonstrated a cystic appearing focus within the navicular in conjunction with a osteochondral lesion within the proximal articular surface of the navicular. This case report presents an arthroscopically assisted treatment of a navicular osteochondral lesion using curettage and backfilling with fibrin glue, flowable collagen, and autogenous bone grafting.


METHODS
Therapeutic, Level IV.
Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, Virginia.
Thomas C
TC
Keller
Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, Virginia.
Ian J
IJ
Dempsey
Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, Virginia jsp3x@hscmail.mcc.virginia.edu.
Joseph S
JS
Park
D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D016026:Bone Marrow Transplantation / Q000379:methods*; D003094:Collagen / Q000494:pharmacology*; D003131:Combined Modality Therapy; D015718:Fibrin Tissue Adhesive / Q000494:pharmacology*; D005500:Follow-Up Studies; D006801:Humans; D007085:Ilium / Q000601:surgery; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D010007:Osteochondritis / Q000175:diagnosis / Q000601:surgery*; D018570:Risk Assessment; D013639:Tarsal Bones / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
D015718:Fibrin Tissue Adhesive; D003094:Collagen
fibrin glue; flowable collagen; navicular; osteochondral defect; talonavicular arthroscopy