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Surgical management of an isolated symptomatic talonavicular coalition: a paediatric perspective
  1. Keval Patel1,
  2. Abdullah Khawaja2,
  3. Aman Patel2 and
  4. Michail Kokkinakis1
  1. 1Department of Paediatric Orthopaedic Surgery, Evelina London Children's Hospital, London, UK
  2. 2King's College London Faculty of Life Sciences and Medicine, London, UK
  1. Correspondence to Michail Kokkinakis; michail.kokkinakis{at}


Talonavicular (TN) coalition is a rare pathological union of the talus and navicular bones. We report the case of a 7-year-old girl with a symptomatic TN coalition, who underwent operative management with a lateral column lengthening procedure using autologous iliac crest bone grafting. There are no complications to report and the graft was incorporated at an early stage. At 3 year follow-up the patient has remained pain-free since the operation and maintained alignment. To our knowledge, this is the first reported case of TN coalition treated with reconstructive surgery in a paediatric patient.

  • orthopaedics
  • paediatrics

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  • Contributors KP and AK contributed equally to this paper. AP contributed to this manuscript. MK was the lead surgeon on the case and is the senior author on this report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.