Dorsiflexory Wedge Osteotomy to Treat Freiberg’s Infraction of the Second Metatarsal Head: A case report

Botek, Georgeanne

doi:10.3827/faoj.2008.0111.0003

Cited by 2 publications

(3 citation statements)

References 7 publications

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“…Over the years, researchers have described various methods of surgically treating Freiberg's disease. [9][10][11][12][18][19][20]22 Certain patients may improve with conservative treatment alone, 13 however, surgical intervention becomes necessary if symptoms are uncontrolled.…”

Section: Discussionmentioning

confidence: 99%

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The Functional Outcome of Four-In-One Technique: Dorsal Closing-Wedge & Shortening Osteotomy, Debridement, Micro-Fracture in the Treatment of Freiberg’s Disease

Balachandran¹

2017

MOJCR

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Conservative measures reducing the load and stress on the metatarsal are used in treating Freiberg's disease 4-6 as the first line management. However, failures of conservative management are dealt with operative techniques including debridement, 7 osteotomy (either dorsal closing-wedge 8 or shortening, 9 osteochondral plug transplantation, 10 resection arthroplasty. 11 We proposed a multipronged approach to the management of Freiberg disease. A combined dorsal closing wedge with shortening of the metatarsal and joint debridement and micro-fracture for treating the Freiberg infarction was done. The hypothesis is that dorsal closing wedge and shortening alone cannot help cartilage regeneration. Addition of micro-fracture aids in cartilage regeneration and debridement clears the joint of debris which might further perpetuate damage if left unattended.The aim of our study is to evaluate the functional outcome of Freiberg's disease patients who were surgically treated with this four in one procedure.

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Section: Discussionmentioning

confidence: 99%

“…Initially, the procedure was carried out via an intra-articular route but an extra-articular approach has the advantages of increased stability by use of a compression screw, and affords a degree of metatarsal shortening and joint decompression. 19 We used a single compression screw as our fixation method.…”

Section: Discussionmentioning

confidence: 99%

The Functional Outcome of Four-In-One Technique: Dorsal Closing-Wedge & Shortening Osteotomy, Debridement, Micro-Fracture in the Treatment of Freiberg’s Disease

Balachandran¹

2017

MOJCR

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“…A residual loss of flexion and extension is apparent but does not limit the patients' ability to walk or run. Initially, the procedure was carried out via an intra-articular route but an extra-articular approach has the advantages of increased stability by use of a compression screw, and affords a degree of metatarsal shortening and joint decompression [18,19]. We used a single compression screw as our fixation method.…”

Section: Discussionmentioning

confidence: 99%

The Functional Outcome of Four-in-One Technique: Dorsal Closing-Wedge & Shortening Osteotomy, Debridement, Micro-Fracture in the Treatment of Freiberg’s Disease

Balakumar¹

2017

JOBD

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Introduction: Osteochondritis dissecans of the femoral condyles is a subchondral bone necrosis, rare, more or less extended. The osteochondral fragmentation that results from it is responsible for very invalid pain and joint dysfunction.The aim of this work is to evaluate the clinical, radiological and evolutionary aspects of patients operated for osteochondritis dissecans of the femoral condyles by the technique of mosaicplasty at Order of Malta's Hospital Center in Dakar CHOM.Patients and Method: This is a retrospective, single-center study over a period of 67 months, involving 8 patients (6 men and 2 women). The average age was 25 years and the average BMI 22.93. Standard radiography has been performed in all our patients. 2 patients had MRI and 1 patient did a CT. The collected data were the time of care, the IKDC score, the ICRS score and the Hughston / SFA score. The following characteristics of the lesion -the surface and the location -were also studied. Intraoperatively, the number and diameter of the pads, the location of the donor site and the associated operative procedures were recorded. At last follow-up, patients were assessed according to the Hughston functional and radiological scores, and IKDC. All the patients were immobilized for 6 weeks and benefited from the re-education sessions.Results: At an average follow-up of 36.5 months, the subjective results of the patients were very satisfactory in 62.5% of the cases and the clinical results according to the IKDC were excellent. Healing of osteochondral lesions was achieved in all our patients and 75% were in stage IV according to the radiological Hughston score.

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Dorsiflexory Wedge Osteotomy to Treat Freiberg’s Infraction of the Second Metatarsal Head: A case report

Abstract: The Foot & Ankle Journal 1 (11): 3Freiberg's infraction is an uncommon diagnosis.

Cited by 2 publications

References 7 publications

The Functional Outcome of Four-In-One Technique: Dorsal Closing-Wedge & Shortening Osteotomy, Debridement, Micro-Fracture in the Treatment of Freiberg’s Disease

The Functional Outcome of Four-In-One Technique: Dorsal Closing-Wedge & Shortening Osteotomy, Debridement, Micro-Fracture in the Treatment of Freiberg’s Disease

The Functional Outcome of Four-in-One Technique: Dorsal Closing-Wedge & Shortening Osteotomy, Debridement, Micro-Fracture in the Treatment of Freiberg’s Disease

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