Arthroscopically Assisted Treatment of Navicular Osteochondral Defect Using Flowable Collagen, Iliac Crest Bone Marrow Aspirate and Fibrin Glue: A Case Report. Issue 5 (October 2015)

• Record Type: Journal Article
• Authors: Keller, Thomas C.; Dempsey, Ian J.; Park, Joseph S.
• Is Part Of: Foot & ankle specialist. Volume 8:Issue 5(2015:Oct.)
• Page Start: 417
• Page End: 421
• Publication Date: 2015-10
• Subjects: navicular -- osteochondral defect -- talonavicular arthroscopy -- flowable collagen -- fibrin glue; Podiatry -- Periodicals; Orthopedics -- Periodicals; Foot -- Diseases -- Periodicals; Foot -- Surgery -- Periodicals; Ankle -- Surgery -- Periodicals; 617.585
• DOI: 10.1177/1938640014557076
• Languages: English
• ISSNs: 1938-6400

Abstract

A 32-year-old male recreational athlete presented with activity-related chronic dorsal midfoot pain. Conservative treatment, including a prolonged period of immobilization, physical therapy, nonsteroidal anti-inflammatory drugs, and use of a bone stimulator, failed to resolve his symptoms. Computed tomography and magnetic resonance imaging demonstrated a cystic appearing focus within the navicular in conjunction with a osteochondral lesion within the proximal articular surface of the navicular. This case report presents an arthroscopically assisted treatment of a navicular osteochondral lesion using curettage and backfilling with fibrin glue, flowable collagen, and autogenous bone grafting. Levels of Evidence: Therapeutic, Level IV