Surgery for symptomatic Freiberg's disease: Extraarticular dorsal closing-wedge osteotomy in 13 patients followed for 2-4 years

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

“…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

“…Kinnard et al used an absorbable suture to fix the intra-articular closing-wedge osteotomy site [8], but fixation using absorbable sutures is relatively weak and is thought to cause a loss of reduction and/or synostosis failure [9]. Chao et al reported temporal cross-pinning using K-wire in 13 cases [3]. Although this simple technique leads to strong fixation, there are problems associated with infection, migration, and friction of soft tissues.…”

“…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].…”

“…Kinnard used an absorbable suture, but these types of sutures are reportedly too weak for fixing [8]. Chao used a temporal cross-pinning of Kirschner wire (K-wire) for fixation [3]. Although the procedures associated with this method are simple, the removal of metal objects is required, and early range of motion (ROM) training cannot be conducted.…”

Çocukluk çağı ayak osteokondrozları

“…[21] Chao ve arkadaşları ise, 13 hastada dorsal kapayıcı kama osteotomisine sinoviyektomi ve debridmanı ekleyerek, tüm evrelerde yaptıkları ortalama 40 ay takipli çalışmalarında, dört mükemmel, yedi iyi ve iki kötü sonuç bildirmişlerdir. [22] Kısaltması 3 mm olan bir hastada transfer metatarsalji oluşmuştur. Helix-Giardonino ve arkadaşları-nın yayımladığı 30 olguluk ortalama 6,5 yıllık takipli seride; 17 hastada mükemmel, 11 hastada tatminkar ve iki hastada orta derecede tatminkar sonuç elde edilmiştir.…”