Javed Hassan Raza, Muhammad Akram, Irfan Ahmed Chaudhry.
Clinical Outcome of Simple Surgical Excision of Accessory Navicular Bone in patients with Failed Conservative Treatment.
Ann King Edward Med Uni Jan ;24(4):973-6.

Objective: To describe the clinical outcome of simple surgical excision in accessory navicular bone.Methods: This prospectively case series reviewed the results of 16 consecutive patients (17 feet) who underwent surgical treatment for symptomatic accessory navicular. The patients ranged in age from 16 to 25 years (average, 20.5 years; mean, 16.8 years) at the time of surgery. All patients had a type II accessory navicular. The study was conducted from January 2015 to February 2017. VAS system was used to evaluate the pain intensity pre and post operatively.Results: The average preoperative VAS score was 6.24±0.83. The average postoperative VAS score was 0.94 ±0.83. Postoperatively, all the feet were pain free except one, no patient had decreased activity due to pain ,one patient required re-do surgery. Midfoot longitudinal arch alignment remain unchanged in our study postoperatively. Conclusion: Surgical management gives promising results in patients who have failed conservative treatment initially. Overall, the procedure (simple surgical excision) of our study resulted in symptomatic relief and return to normal daily activities postoperatively.

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