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Staged Surgical Management of Open Navicular Fracture Secondary to a Gunshot Injury

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The management guidelines of gunshot wound (GSW) injuries to the lower extremities have primarily been described more recently in the literature. A navicular fracture with adjacent joint involvement is presented from a GSW with initial external fixation management to prevent loss of anatomical alignment and successful staged definitive treatment with internal fixation. Based on previous experiences with rearfoot joint involvement from GSW injuries, we were able to direct definitive treatment with arthrodesis of violated joints. After a 1-year follow-up, the patient has returned to normal activities without any limitations. This case report demonstrates a stepwise approach to management of an open navicular fracture secondary to a GSW.

Great Lakes Foot and Ankle Institute, Rochester, MI.

Detroit Medical Center, Detroit, MI. Dr. Rahnama-Vaghef is now with Georgetown University School of Medicine, Washington, DC.

Corresponding author: Great Lakes Foot and Ankle Institute, 1135 West University Dr, Ste 305, Rochester, MI 48307. (E-mail: zee@alum.mit.edu)