Application and Effect Evaluation of Orthopedic Surgery in Treating Adolescent Accessory Bone Pain

Objective: To investigate the application and effectiveness of accessory navicular excision combined with posterior tibial tendon reconstruction in treating adolescent accessory bone pain. Methods: A total of 60 adolescent patients with accessory bone pain treated between January 2023 and May 2024 were selected and divided into two groups based on treatment methods: the control group (30 patients receiving conventional anti-inflammatory and analgesic treatment) and the study group (30 patients receiving accessory navicular excision and posterior tibial tendon reconstruction in addition to control group treatment). Pain levels, treatment efficacy, and foot function scores were compared between the two groups. Results: Before treatment, no significant difference in VAS scores was observed between the two groups (P > 0.05); after treatment, the study group had lower VAS scores than the control group (P < 0.05). The treatment effect in the study group was superior to that of the control group, with significant differences noted (P < 0.05). Before treatment, no significant difference in foot function scores was observed (P > 0.05); after treatment, the study group had significantly higher functional scores than the control group (P < 0.05). Conclusion: Accessory navicular excision combined with posterior tibial tendon reconstruction significantly improves treatment outcomes, alleviates pain, and enhances foot function in adolescents with accessory bone pain.