A simple surgical technique for treatment of Freiberg's disease

Freiberg’s infraction: A modified closing wedge osteotomy for an undiagnosed case

“…We opted for screw fixation with no need for a second surgery to remove the screw as is necessary in osteotomies temporarily fixed with k-wires [18]. Unlike several authors [5], [6], [7], [16], our patient did not have limited motion; the osteotomy healed well and complete return to normal activity was achieved. We postulate our different outcome is essentially due to precise and thin closing-wedge osteotomy (less than 5 mm) performed by a small straight burr, usually used for minimally invasive surgery, without removing too much healthy bone.…”

Surgical Management of Freiberg’s Infraction

“…The search for potentially eligible information yielded a total of 85 references of which 38 (44.7%) met all of the inclusion criteria 14,15,19,20,22,[23][24][25]27,31,33,42,45, (Table 2). The level of evidence for the included studies was Level 4 and 5, therapeutic.…”

“…16,29,35,79 These reported prevalence rates are much higher than the 2.2% seen from the included studies. 14,15,19,20,22,[23][24][25]27,31,33,42,45, With bilateral occurrence being an uncommon finding, etiology continues to be elusive as one would assume that the factors affecting one foot would affect the other. Traumatic onset has only been reported in a few studies.…”

“…Traumatic onset has only been reported in a few studies. 1,14,15,38,45,64 The correct nomenclature for the condition, whether it is truly vascular in etiology and an infarction or an infraction related to a single traumatic event or mild repetitive stress over a period of time, cannot be assessed leaving the hypothesis that the etiology is multifactorial in nature in place. 4,19,21 Conclusion A systematic review was performed of a wide range of electronic databases and references to identify published material relating to the optimal surgical procedure for Freiberg's infraction and to determine if the Smillie stage of the affected metatarsal had any impact on procedure selection or outcome.…”

Ostéotomie de Gauthier et fixation par ostéo-sutures dans le traitement de la maladie de Freiberg

“…Les résultats sont satisfaisants vis-à-vis des douleurs avec une petite limitation de la mobilité concernant plus la flexion qui n’altère en aucun cas la fonction articulaire. Cette conclusion concorde avec la série de MB Al-Ashhab et al, 2013 [ 9 ] et de celle de Katcherian, 1994 [ 10 ]. En plus, la fixation par du fils résorbable nous a permis d’obtenir une stabilité satisfaisante à la consolidation, d’éviter un deuxième temps chirurgical d’ablation d’autant plus que c’est une chirurgie à faible cout.…”