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6Bridge plating

Bridge plating

Bridge plating can be carried out by bridging the navicular and the cuneiforms. This gives the construct added stability. If possible, one should try to use lag screws independently of the plate.
Severe comminution of the navicular is a major problem. If the comminution of the navicular-cuneiform joint is too severe to allow reconstruction, carry out a primary navicular-cuneiform fusion.