Results of simple excision technique in the surgical treatment of symptomatic XXXX .

@entity1 @entity29565 @entity158
INTRODUCTION: @entity29565 might cause not only cosmetic problems but also be a reason of discomfort and @entity158 . In case of inefficient conservative treatment symptomatic accessory naviculars are treated surgically. AIM OF PAPER: Presentation of results of simple excision of symptomatic @entity29565 . MATERIAL AND METHODS: Material consists of 22 @entity1 (34 feet), 17 @entity1 and 5 @entity1 , treated surgically between 1992 and 2006. Mean age at surgery was 14.1 years (9-22 years). @entity29565 was present in 5 feet (14.7%), type II in 17 (50%) and type III-in 12 (35.3%). Main symptom was localized @entity158 on the medial arch of the foot, in the height of navicular bone. Surgery consisted of simple @entity29565 excision and if needed partial resection of navicular bone. The mean follow-up period was 5.6 years (1-13 years). We analyzed: intensity of @entity158 (VAS score system), daily and sport activity. Subjective results were analyzed using a questionnaire. RESULTS: The questionnaire was returned from 21 @entity1 : 9 @entity1 had @entity158 relief, 11 considerable and one @entity1 had persistent @entity158 . Mean VAS results before surgery was 5.9 and 1.7 after surgery. Only one @entity1 required analgesics occasionally. Complications were present in two @entity1 (6.1%). All active @entity1 returned to their sport activities. CONCLUSION: Surgical treatment of symptomatic @entity29565 by simple excision technique gives satisfying results, surgery is minimally traumatic and risk of complications low.
