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Light Bulb Procedure for the Treatment of Tarsal Navicular Osteonecrosis After Failed Percutaneous Decompression: A Case Report.
- Source :
-
The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons [J Foot Ankle Surg] 2019 Jan; Vol. 58 (1), pp. 187-191. Date of Electronic Publication: 2018 Nov 15. - Publication Year :
- 2019
-
Abstract
- Tarsal navicular osteonecrosis in adults is a rare condition with unclear etiology, and the optimal treatment has not been established. Here we report a case of tarsal navicular osteonecrosis with a complete course of treatment and comprehensive imaging studies starting at an early stage. A 37-year-old female diagnosed with tarsal navicular osteonecrosis was first treated with percutaneous decompression, but her symptoms persisted postoperatively. The tarsal navicular showed no further collapse, but follow-up magnetic resonance imaging (MRI) at 6 months postoperatively revealed persistent osteonecrotic changes. Debridement of the necrotic bone with preservation of the cortical shell and bone substitute packing for the defect (light bulb procedure) were performed. The symptoms resolved by 3 months postoperatively, and the patient could return to work. At a 6-year follow-up visit, the patient was free of symptoms, and MRI showed remodeling of the tarsal navicular without further collapse.<br /> (Copyright © 2018. Published by Elsevier Inc.)
Details
- Language :
- English
- ISSN :
- 1542-2224
- Volume :
- 58
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
- Publication Type :
- Academic Journal
- Accession number :
- 30448372
- Full Text :
- https://doi.org/10.1053/j.jfas.2018.08.003