A Fixed, Unreducible, Unstable Medial Swivel Dislocation of the Talonavicular Joint with Associated Navicular Fracture

Figure 4

(a, b) Intraoperative images demonstrating the insertion of K-wires to hold the talonavicular joint reduction and addition of 2.7 mm screws in the “constant fragment” in order to reconstruct the anatomy of the navicular; the K-wires help to keep dislocation forces off of the screw fixation to avoid failure of the navicular screw fixation.

(a)

(b)