Late-Stage Freiberg Disease Treated by Osteochondral Plug Transplantation: A Case Series

Abstract

Osteochondral plug transplantation for late-stage Freiberg disease yielded satisfactory results upon arthroscopic and radiological evaluations at 12 months after surgery and clinical evaluation for all four cases.

Midterm clinical results of osteochondral autograft transplantation for advanced stage Freiberg disease

“…To date, there have been few reports that revealed the effectiveness of OAT for Freiberg disease [10][11][12]. In 2002, Hayashi et al first reported a case of late stage Freiberg disease that was treated by OAT with a good surgical outcome [10].…”

“…Therefore, although favourable results have been reported [10][11][12], evidence remains insufficient to support its application. To date, there had been no reports on the surgical outcome and midterm follow-up of this technique in at least ten cases.…”

“…Among these surgical procedures, OAT is the most recent technique that was first introduced in 2002 [10], with only a few reported case series on a small number of patients in the literature [11,12]. Therefore, although favourable results have been reported [10][11][12], evidence remains insufficient to support its application.…”

“…Although several surgical procedures, including joint debridement [4,5], resection arthroplasty [6], osteotomy of the metatarsal head [7][8][9] and osteochondral autograft transplantation (OAT) [10][11][12], have been introduced, there has been no consensus on the best surgical procedure for this condition.…”

Extra-articular dorsal closing-wedge osteotomy to treat late-stage Freiberg disease using polyblend sutures: technical tips and clinical results

“…Surgical treatment is typically only performed when conservative therapy fails. Although various operative procedures, including resection arthroplasty, joint debridement, osteotomy, and osteochondral transplant, have been reported, no consensus regarding the best surgical approach has been reached to date [2][3][4][5][6][7][8][9][10][11][12]. Gauthier and Elbaz reported good results for dorsal intra-articular closingwedge osteotomy procedures regardless of the disease stage [4].…”