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6Bridge plating

Severe comminution of the talonavicular joint is a greater problem. One should avoid at all cost a TN fusion, because this robs the hindfoot of all mobility. In these cases, reconstruct the talar surface of the navicular and bridge the joint either with an external fixator or a plate. Such a plate must be removed subsequently to permit restoration of some joint motion. Plating can be done through the dorsal, or through the medial incision, however, soft-tissue stripping should be avoided.