{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T23:46:54Z","timestamp":1791848814006,"version":"4.3.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2015,12,23]],"date-time":"2015-12-23T00:00:00Z","timestamp":1450828800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Treatment of displaced tarsal navicular body fractures usually consists of open reduction and internal fixation. However, there is little literature reporting results of this treatment and correlation to fracture severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We report the results of 24 patients treated in our institution over a 12-year period. Primary outcome measurements were Visual-Analogue-Scale Foot and Ankle score (VAS-FA), AOFAS midfoot score, and talonavicular osteoarthritis at final follow-up. According to a new classification system reflecting talonavicular joint damage, 2-part fractures were classified as type I, multifragmentary fractures as type II, and fractures with talonavicular joint dislocation and\/or concomitant talar head fractures as type III. Spearman\u2019s coefficients tested this classification\u2019s correlation with the primary outcome measurements. Mean patient age was 33 (range 16-61) years and mean follow-up duration 73 (range 24-159) months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Average VAS-FA score was 74.7 (standard deviation [SD] 16.9), and average AOFAS midfoot score was 83.8 (SD = 12.8). Final radiographs showed no talonavicular arthritis in 5 patients, grade 1 in 7, grade 2 in 3, grade 3 in 6, and grade 4 in 1 patient. Two patients had secondary or spontaneous talonavicular fusion. Spearman coefficients showed strong correlation of the classification system with VAS-FA score ( r = \u22120.663, P &lt; .005) and talonavicular arthritis ( r = 0.600, P = .003), and moderate correlation with AOFAS score ( r = \u2212.509, P = .011).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>At midterm follow-up, open reduction and internal fixation of navicular body fractures led to good clinical outcome but was closely related to fracture severity. A new classification based on the degree of talonavicular joint damage showed close correlation to clinical and radiologic outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV, retrospective case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100715624208","type":"journal-article","created":{"date-parts":[[2015,12,24]],"date-time":"2015-12-24T20:24:14Z","timestamp":1450988654000},"page":"501-507","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":26,"title":["Operative Treatment of Acute Fractures of the Tarsal Navicular Body"],"prefix":"10.1177","volume":"37","author":[{"given":"Timo","family":"Schmid","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Inselspital, University of Berne, Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabian","family":"Krause","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Inselspital, University of Berne, Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Gebel","sequence":"additional","affiliation":[{"name":"Department of Traumatology, Spital Wallis, Visp, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Weber","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Orthosiloah, G\u00fcmligen, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,12,23]]},"reference":[{"key":"bibr1-1071100715624208","first-page":"295","volume":"90","author":"Bonvallet JM.","year":"1950","journal-title":"Int Abstr Surg"},{"key":"bibr2-1071100715624208","doi-asserted-by":"publisher","DOI":"10.1177\/003591574203501203"},{"key":"bibr3-1071100715624208","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196951030-00019"},{"key":"bibr4-1071100715624208","first-page":"142","volume":"34","author":"Eichenholtz SN","year":"1964","journal-title":"Clin Orthop Relat Res"},{"key":"bibr5-1071100715624208","volume-title":"Foot Disorders: Medical and Surgical Management","author":"Garcia A","year":"1973","edition":"2"},{"key":"bibr6-1071100715624208","first-page":"254","volume":"3","author":"Greenberg M","year":"1980","journal-title":"Orthopedics"},{"key":"bibr7-1071100715624208","doi-asserted-by":"publisher","DOI":"10.1136\/ard.16.4.494"},{"key":"bibr8-1071100715624208","doi-asserted-by":"publisher","DOI":"10.1177\/107110079401500701"},{"key":"bibr9-1071100715624208","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.57B1.89"},{"key":"bibr10-1071100715624208","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197608000-00013"},{"key":"bibr11-1071100715624208","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198910000-00026"},{"key":"bibr12-1071100715624208","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-002-0440-5"},{"key":"bibr13-1071100715624208","doi-asserted-by":"publisher","DOI":"10.1177\/107110070402500512"},{"key":"bibr14-1071100715624208","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102200506"},{"key":"bibr15-1071100715624208","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2006.04.001"},{"key":"bibr16-1071100715624208","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198971100-00008"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1071100715624208","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1071100715624208","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1071100715624208","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:25:02Z","timestamp":1777411502000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1071100715624208"}},"subtitle":["Midterm Results With a New Classification"],"short-title":[],"issued":{"date-parts":[[2015,12,23]]},"references-count":16,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2016,5]]}},"alternative-id":["10.1177\/1071100715624208"],"URL":"https:\/\/doi.org\/10.1177\/1071100715624208","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,23]]}}}