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Total Loss of the Intermediate Cuneiform by Posttraumatic Avascular Necrosis: A Case Report

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We report a unique case of the total loss of the intermediate cuneiform by posttraumatic avascular necrosis resulting from a left foot open fracture and dislocation of the navicular bone and medial and intermediate cuneiforms at the Chopart and Lisfranc joints in a 64-year-old woman. The injury was managed with open reduction and internal fixation with Kirschner wires and cannulated screws. During postoperative follow-up, we observed avascular necrosis of the intermediate cuneiform and the total loss of the bone. An extensive English literature search revealed only one case report published on this topic. Thus, we provide this case study to help guide clinical decision making in the future.

Department of Orthopedic Surgery, Jeonbuk National University Medical School, Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, South Korea.

Yeon Orthopaedic Clinic, Jeonju, Korea.

Corresponding author: Kwang-Bok Lee, MD, Jeonbuk National University Hospital, 20 Gunjiro, Deokjingu, Jeonju 54978, Republic of Korea. (E-mail: osdr2815@naver.com)