{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T17:47:27Z","timestamp":1790790447043,"version":"4.1.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Orthopaedics"],"published-print":{"date-parts":[[2021,4,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Naviculectomy was originally described for resistant congenital vertical talus deformity but was later expanded to use in rigid cavus deformity. This study reviews the operative outcomes of complete excision of the navicular for recurrent deformity in the talipes equinovarus (TEV) population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>After institutional review board approval, all patients undergoing naviculectomy at a single institution were identified. Clinical, radiographic, and pedobarographic data (minimum 2 years\u2019 follow-up) were reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Twelve patients (14 feet) with TEV from 1984 to 2019 were included. All feet had minimum 1 prior operative intervention on the affected foot (mean age = 4.0 years, range 0.2-14.5), with 8\/14 having at least 3 prior operative procedures. Complete navicular excision with concomitant procedures was performed in all patients (mean age = 11.7 years, range 5.5-16.1). Mean clinical follow-up from naviculectomy was 5.1 years (range, 2.2-11.2). During follow-up, 6 patients required subsequent surgery, most often secondary to pain and progressive deformity. One patient underwent elective below-knee amputation of the affected extremity. Of the remaining 11 patients, 7 of 11 reported continued pain and 8 of 11 maintained adequate range of motion at the ankle at the most recent follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Clinical follow-up demonstrated deteriorating results in a large percentage of patients. The high rate of additional procedures and continued pain in the current series suggests that even as a salvage procedure, naviculectomy may not provide adequate results for patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV, case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/24730114211008155","type":"journal-article","created":{"date-parts":[[2021,4,21]],"date-time":"2021-04-21T03:26:23Z","timestamp":1618975583000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Outcomes of Naviculectomy for Severe Recurrent Clubfoot Deformity"],"prefix":"10.1177","volume":"6","author":[{"given":"David E.","family":"Westberry","sequence":"first","affiliation":[{"name":"Pediatric Orthopedic Surgery Medical Director: Motion Analysis Laboratory, Shriners Hospitals for Children, Greenville, SC, USA"},{"name":"Clinical Research Coordinator, Shriners Hospitals for Children, Greenville, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1892-2826","authenticated-orcid":false,"given":"Ashley M.","family":"Carpenter","sequence":"additional","affiliation":[{"name":"Clinical Research Coordinator, Shriners Hospitals for Children, Greenville, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Brown","sequence":"additional","affiliation":[{"name":"University of South Carolina School of Medicine, Greenville, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel B.","family":"Hilton","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Residency, Eastern Tennessee State University, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,4,20]]},"reference":[{"key":"bibr1-24730114211008155","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000703"},{"issue":"3","key":"bibr2-24730114211008155","first-page":"366","volume":"73","author":"Bosker BH","year":"2007","journal-title":"Acta Orthop Belg"},{"key":"bibr3-24730114211008155","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197759060-00016"},{"key":"bibr4-24730114211008155","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpo.0000173244.74065.e4"},{"key":"bibr5-24730114211008155","doi-asserted-by":"publisher","DOI":"10.1177\/107110078400500304"},{"key":"bibr6-24730114211008155","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200605000-00009"},{"key":"bibr7-24730114211008155","doi-asserted-by":"publisher","DOI":"10.1177\/1071100717709577"},{"key":"bibr8-24730114211008155","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-018-2932-y"},{"key":"bibr9-24730114211008155","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000663"},{"key":"bibr10-24730114211008155","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e318164ee6e"},{"key":"bibr11-24730114211008155","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.18.00317"},{"key":"bibr12-24730114211008155","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2016.02.012"},{"key":"bibr13-24730114211008155","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001380"},{"key":"bibr14-24730114211008155","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e31821f849a"},{"key":"bibr15-24730114211008155","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-0720-2"},{"key":"bibr16-24730114211008155","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.86.2.420"},{"key":"bibr17-24730114211008155","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-013-3386-8"},{"key":"bibr18-24730114211008155","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-0758-1"}],"container-title":["Foot &amp; Ankle Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/24730114211008155","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/24730114211008155","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/24730114211008155","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:27:15Z","timestamp":1777411635000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/24730114211008155"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,1]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,4,1]]}},"alternative-id":["10.1177\/24730114211008155"],"URL":"https:\/\/doi.org\/10.1177\/24730114211008155","relation":{},"ISSN":["2473-0114","2473-0114"],"issn-type":[{"value":"2473-0114","type":"print"},{"value":"2473-0114","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,1]]},"article-number":"24730114211008155"}}