Painful accessory navicular syndrome: A modified Kidner procedurenavicular

Abstract

Objectives Painful accessary navicular syndrome is treated by various surgical methods after failed conservative treatment. The reason for the persisting pain, in all the surgically intervened cases, was degeneration of tibialis posterior tendon due to the need for dissecting the tendon in all the operative techniques described till date. So the surgical intervention for a painful accessary navicular syndrome should be done without disturbing the tibialis posterior tendon. Material and Methods We are presenting a surgical technique modifying the Kidner procedure while avoiding any damage to tibialis posterior tendon and a case series using our technique 11 patients underwent this procedure, of which ten were available for at least a two-year follow-up. Results The American orthopaedic foot and ankle society (AOFAS) ankle-hind foot score improved from 70 to 95 in the three-month follow-up and maintained till the final follow-up. Conclusion This modified Kidner procedure could be an effective technique in preventing persisting pain following the surgical treatment of the painful accessory navicular syndrome.