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I had a talonavicular joint fusion on 8/16. One Integra Qwix Screw and a dorsal nitro staple were used.
I was in a cast for 13 weeks with no weight bearing. I was than put in a boot, using 2 crutches. X-rays were taken along the way, the ones on 11/16 were fine. At a follow-up visit on 1/4, an x-ray, and subsequent CT shows the staple is fractured in 2 places. There is no evidence of bony bridging at the fusion site. Having pain when walking in the boot. Also, wakes me up at night when I move.
What would cause the staple to break ? Is it possible that it was defective ? Is a revision necessary ?
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