{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:15:16Z","timestamp":1783509316223,"version":"3.55.0"},"reference-count":14,"publisher":"MDPI AG","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>We present a case report of revision talonavicular joint arthrodesis following painful nonunion. Following the removal of the previously united subtalar joint arthrodesis hardware, the posterior screw tunnel was used to access the internal aspect of the calcaneus for bone and marrow harvesting avoiding a second graft site incision. A suction curettage system was then used to acquire adequate autologous cancellous bone graft and nondiluted bone marrow. The talonavicular joint was then prepared for revision arthrodesis, followed by augmentation with the autologous cancellous bone graft and rigid internal fixation placed across the joint for compression. There were no complications noted at the donor site or the arthrodesis site immediately following surgery or during follow-up. Radiographs obtained 4 months postoperatively demonstrate osseous union at the talonavicular joint and near complete consolidation at the calcaneal donor site. The patient is currently walking pain-free in a walking boot and will be continually followed to allow for long-term outcome measures.<\/jats:p>","DOI":"10.7547\/22-175","type":"journal-article","created":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T10:13:02Z","timestamp":1742811182000},"source":"Crossref","is-referenced-by-count":0,"title":["Novel Bone and Marrow Harvesting Approach Through Posterior Subtalar Screw Tunnel for Revision Talonavicular Joint Arthrodesis"],"prefix":"10.3390","volume":"115","author":[{"given":"Andrew S.","family":"Au","sequence":"first","affiliation":[{"name":"Yale New Haven Hospital, New Haven, CT."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter A.","family":"Blume","sequence":"additional","affiliation":[{"name":"Yale New Haven Hospital, New Haven, CT."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"Atlas of Orthoses and Assistive Devices","author":"Webster J","year":"2017","unstructured":"Webster J, Murphy D: Atlas of Orthoses and Assistive Devices 5th Edition, Elsevier Health Sciences, Philadelphia, 2017."},{"key":"B2","series-title":"Clin Orthop Relat Res","first-page":"1334","article-title":"Surgical technique: Medial column arthrodesis in rigid spastic planovalgus feet","volume":"470","author":"de Moraes Barros Fucs PM","year":"2012","unstructured":"de Moraes Barros Fucs PM, Svartman C, de Assump\u00e7\u00e3o RM, et al: Surgical technique: Medial column arthrodesis in rigid spastic planovalgus feet. Clin Orthop Relat Res 470: 1334, 2012."},{"key":"B3","series-title":"J Foot Ankle Surg","first-page":"1154","article-title":"Comparative Nonunion Rates in Triple Arthrodesis","volume":"57","author":"Klassen LJ","year":"2018","unstructured":"Klassen LJ, Shi E, Weinraub GM, et al: Comparative Nonunion Rates in Triple Arthrodesis. J Foot Ankle Surg 57: 1154, 2018."},{"key":"B4","series-title":"Foot Ankle Spec","first-page":"104","article-title":"Longer operative time is independently associated with surgical site infection and wound dehiscence following open reduction and internal fixation of the ankle","volume":"13","author":"Gowd AK","year":"2020","unstructured":"Gowd AK, Bohl DD, Hamid KS, et al: Longer operative time is independently associated with surgical site infection and wound dehiscence following open reduction and internal fixation of the ankle. 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Foot Ankle Surg 7: 2473011421S00094, 2022."},{"key":"B10","series-title":"Foot Ankle Spec","first-page":"298","article-title":"Bone graft harvesting from the calcaneus using lateral wall corticotomy technique by an osteotome","volume":"14","author":"Khademi F","year":"2014","unstructured":"Khademi F, Erfani A, Erfani MA, et al: Bone graft harvesting from the calcaneus using lateral wall corticotomy technique by an osteotome. Foot Ankle Spec 14: 298, 2014."},{"key":"B11","series-title":"Clin Podiatr Med Surg","first-page":"733","article-title":"Percutaneous bone marrow aspirate and bone graft harvesting techniques in the lower extremity","volume":"25","author":"Schade VL","year":"2008","unstructured":"Schade VL, Roukis TS: Percutaneous bone marrow aspirate and bone graft harvesting techniques in the lower extremity. Clin Podiatr Med Surg 25: 733, 2008."},{"key":"B12","series-title":"J Wrist Surg","first-page":"158","article-title":"Tibial bone grafting for wrist reconstruction","volume":"6","author":"Rancy SK","year":"2017","unstructured":"Rancy SK, Malliaris SD, Wolfe SW: Tibial bone grafting for wrist reconstruction. J Wrist Surg 6: 158, 2017."},{"key":"B13","series-title":"West Afr J Med","first-page":"403","article-title":"Proximal tibial metaphysis: its reliability as a donor site for grafting","volume":"29","author":"Owoola AM","year":"2010","unstructured":"Owoola AM, Odunubi OO, Yinusa Y, et al: Proximal tibial metaphysis: its reliability as a donor site for grafting. 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Foot Ankle Orthop 6: 2473011420981901, 2021."}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/115\/1\/22-175.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/115\/1\/22-175.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/115\/1\/22-175.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:19:57Z","timestamp":1783505997000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/115\/1\/22175"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":14,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.7547\/22-175","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2025,1]]}}}