{Reference Type}: Journal Article
{Title}: Clinical report of microsurgical treatment of Kohler's disease.
{Author}: Pei Y;Zhu L;Xu Q;Wang J;Sun Y;Wang G;
{Journal}: Sci Rep
{Volume}: 14
{Issue}: 1
{Year}: 2024 03 15
{Factor}: 4.996
{DOI}: 10.1038/s41598-024-57088-w
{Abstract}: The conservative treatment for Kohler's disease will take several months, but some patients still have flatfoot and persistent pain. From October 2013 to July 2015, 3 children with Kohler's disease underwent navicular decompression and micro-circulation reconstruction surgery in our hospital. All the patients have received conservative treatment for more than 3 months and the effect was poor. X-ray showed the bone density of navicular increased significantly. All patients were followed up over 1 year. The 3 patients recovered well. VAS score decreased from 7.0 to 2.6 at 1 month after the operation. The pain symptom disappeared completely on 3 months after surgery. The density of navicular bone recovered to normal. Navicular decompression and micro-circulation reconstruction surgery may quickly improve the ischemic status of navicular bone, alleviate pain symptom and enable patients to resume normal activity as soon as possible.