Abstract
Category:
Midfoot/Forefoot
Introduction/Purpose:
To compare the outcomes of fixation methods for osteosynthesis of a type II symptomatic accessory navicular between screw and tension band wiring
Methods:
Forty-four patients (mean age, 29.2 years; range, 13 to 54 years; 21 males and 23 females) who had undergone operative treatment after failed conservative treatment were chosen for the study between 2007 and 2014. The patients were divided based on the osteosynthetic method: group 1 (screw) and group 2 (tension band wiring). Pre and postoperative evaluations were performed, using the midfoot scale from the American Orthopaedic Foot and Ankle Society (AOFAS), a visual analog scale, time to return to social activities, and plain radiography
Results:
The AOFAS midfoot and visual analog scale scores of both groups improved at the last postoperative follow-up. The times to return to social activities were 12.3 weeks in the screw group and 11.9 weeks in the tension band wiring group (p = 0.394). A broken screw was observed in one case in the screw group and a broken k-wire was detected in two cases in the tension band wiring group. Nonunion was observed in two cases in each group
Conclusion:
The tension band wiring technique could be another osteosynthesis treatment choice for fixation of the accessory navicular bone