Why is calcanaeous and navicular surgery needed?

Calcaneus and navicular surgery may be necessary to treat a variety of conditions affecting the bones of the hindfoot and midfoot. Some common reasons why these procedures may be needed include:

1. Calcaneal fractures: These are breaks in the calcaneus (heel bone), which is the largest bone in the hindfoot. Calcaneal fractures can occur due to high-energy injuries, such as falls from a height or motor vehicle accidents. Surgery may be needed to realign and stabilize the bone fragments and promote proper healing.

2. Navicular fractures: Fractures of the navicular bone, located in the midfoot, can also occur as a result of high-energy injuries. These fractures can be challenging to treat conservatively, and surgical intervention may be necessary to ensure proper alignment and healing.

3. Calcaneal spurs: These are bony growths that develop on the underside of the heel bone and can cause pain and discomfort when walking. In some cases, surgery may be recommended to remove the spur and relieve the associated symptoms.

4. Navicular tarsal coalition: This is a condition where the navicular and calcaneus bones are fused together, either partially or completely. It can cause pain, stiffness, and difficulty walking. Surgery may be needed to separate the fused bones and restore normal foot function.

5. Osteoarthritis: This degenerative joint disease can affect the joints between the calcaneus and navicular bones, leading to pain, stiffness, and swelling. In severe cases, surgery may be necessary to remove damaged cartilage and realign the bones to relieve symptoms and improve mobility.

6. Soft tissue injuries: In some cases, surgery may also be needed to treat soft tissue injuries around the calcaneus and navicular bones, such as tendon ruptures or ligament tears.

The decision to undergo calcaneus and navicular surgery is made by a foot and ankle surgeon based on the specific condition and severity of the symptoms. Surgery is typically recommended when conservative treatment options, such as rest, ice, pain medication, and physical therapy, have failed to provide adequate relief.