title: Combined fracture dislocation of the navicular bone along with cuboid, cuneiform and longitudinal split fracture of the lateral malleolus: a rare combination of fractures.
abstract: Fracture dislocation of the navicular bone, fracture of the cuboid, cuneiform, and longitudinal split fracture of the lateral malleolus is a rare combination of fractures. This is a high velocity injury fracture and can be caused by forcible plantar flexion and inversion of the foot at the time of impact onto the ground. Here we reported such a case in a 35-year-old male patient who was treated by open reduction and fixation with a partially threaded screw and two K-wires for the navicular bone, and two interfragmentary screws with a one third tubular plate for the lateral malleolus. K-wires were removed 6 weeks after surgery followed by partial weight bearing. After 6 months, the patient can walk normally with minimal pain and swelling of the foot.
authors.affiliation: Department of Orthopedics, Civil Service Hospital, Kathmandu, Nepal.
authors.forename: Kapil Mani
authors.initials: KM
authors.lastname: Khatri Chhetri
authors.forename: Parimal
authors.initials: P
authors.lastname: Acharya
authors.forename: Dirgha Raj
authors.initials: DR
authors.lastname: Rokaya Chhetri
mesh_terms: D000328:Adult; D064386:Ankle Fractures / Q000150:complications* / Q000601:surgery; D050723:Fractures, Bone / Q000150:complications* / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000150:complications* / Q000601:surgery; D008297:Male; D013639:Tarsal Bones / Q000293:injuries*