case_images: PMC11823864_01
case_images: Radiograph of antero-posterior and oblique view of foot of the patient.
case_images: JOCR-15-60-g001.jpg
case_images: PMC11823864_01_JOCR-15-60-g001.jpg
case_images: F1
case_images: Plain radiography of antero-posterior and oblique views (Fig. 1) of foot revealed flattening of navicular bone associated with sclerosis and cortical irregularity.
case_images: Magnetic resonance images of the affected foot.
case_images: JOCR-15-60-g002.jpg
case_images: PMC11823864_01_JOCR-15-60-g002.jpg
case_images: F2
case_images: Magnetic resonance imaging (Fig. 2) of foot showed reduced volume and sclerosis with marrow oedema, cortical buckling and arthritic changes at talonavicular joint.
case_images: Intraoperative image showing dorsomedial approach and identification of tarsal navicular.
case_images: JOCR-15-60-g003.jpg
case_images: PMC11823864_01_JOCR-15-60-g003.jpg
case_images: F3
case_images: From a dorsomedial approach (Figs. 3 and 4) to navicular bone was exposed, periosteum and capsule were reflected and necrotic and sclerosed bone marked under c-arm guidance and excised and sent for histopathological examination.
case_images: Intraoperative after exposure of the tarsal navicular.
case_images: JOCR-15-60-g004.jpg
case_images: PMC11823864_01_JOCR-15-60-g004.jpg
case_images: F4
case_images: From a dorsomedial approach (Figs. 3 and 4) to navicular bone was exposed, periosteum and capsule were reflected and necrotic and sclerosed bone marked under c-arm guidance and excised and sent for histopathological examination.
case_images: Intra-operative image after resection of necrotic segment and fixing of bone graft in the void area.
case_images: JOCR-15-60-g005.jpg
case_images: PMC11823864_01_JOCR-15-60-g005.jpg
case_images: F5
case_images: After excising, the capsule of small tarsal joints and autologous tricortical iliac graft (Fig. 5) was filled in the void and stabilized with a cortico-cancellous screw from dorsolateral to ventromedial direction (Fig. 6).
case_images: Skin closure after stabilizing bone graft with screw.
case_images: JOCR-15-60-g007.jpg
case_images: PMC11823864_01_JOCR-15-60-g007.jpg
case_images: F7
case_images: Skin closure (Fig. 7) was done in layers and a below knee slab was applied.
case_images: Radiograph of anteroposterior and oblique view of foot after fusion of midtarsal joints after 6 weeks of surgery.
case_images: JOCR-15-60-g008.jpg
case_images: PMC11823864_01_JOCR-15-60-g008.jpg
case_images: F8
case_images: After 6 weeks, with uptake of graft and arthrodesis of small tarsal joints was observed (Fig. 8).