No abstract

This case describes delayed treatment of a medial talonavicular dislocation with a shear fracture of the talar head, comminuted posterior talar process fracture, and an intra-articular cuboid fracture with subtle medial displacement of the calcanealcuboid joint and the associated treatment. The injury was sustained in a 35-year-old male following a high-energy motor vehicle accident. Three weeks following the injury, delayed treatment was achieved following an attempted closed reduction under general anesthesia followed by open reduction and percutaneous kirschner wire fixation. After a 12-month follow-up the patient was able to return to work and regular activities pain free without complications. Several associated injuries have been described with isolated talonavicular dislocations. This case reviews the technique and care surrounding this injury pattern and its delayed treatment.

Management of posterior tibial tendon dysfunction can be a controversial topic. Posterior tibial tendon dysfunction is a progressive deformity of the foot and ankle and can be very debilitating if not properly treated. The key to successful outcomes begins with a prompt diagnosis and staging of the deformity. Often the early stages of posterior tibial tendon dysfunction can be conservatively managed and progression can be halted before significant deformity ensues. Those that require surgical intervention can be treated with soft tissue balancing and osseous reconstruction. The focus of this chapter is to review the surgical options available for correction of posterior tibial tendon dysfunction.