Surgical Management of Freiberg’s Infraction

Schade, Valerie L.

doi:10.1177/1938640015585966

Cited by 35 publications

(39 citation statements)

References 67 publications

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“…No studies to date have found any surgical treatment method to be superior. 6 In advanced disease with secondary degenerative changes in the joint, salvage options include excision arthroplasty, interpositional arthroplasty and implant arthroplasty. In a recent systematic review by Schade, 6 joint sparing surgery outperformed joint destructive surgery; however both groups reported pain as a significant complication.…”

Section: Articular Osteochondrosismentioning

confidence: 99%

Osteochondroses

Brewer¹,

Fernandes²

2016

Orthopaedics and Trauma

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Osteochondrosis is an umbrella term for a broad variety of conditions affecting all areas of the body. The aetiology is not fully understood and the clinical effects vary from mild pain and discomfort to gross disability. Generally they are self-limiting conditions and can be managed with activity modification and physical therapy. However, some conditions, such as LeggeCalveePerthes, or Blount's, can result in lifelong disability if left untreated.This paper aims to give a broad overview of the osteochondroses and present a synopsis of the more common types, reviewing the current literature and giving guidance on management.

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Section: Articular Osteochondrosismentioning

confidence: 99%

Osteochondroses

Brewer¹,

Fernandes²

2016

Orthopaedics and Trauma

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“…Metatars başının düzensizliği ve (b) (a) Tablo 1. Freiberg Hastalığında Smillie sınıflaması [18] Evre Özellik…”

Section: Klinik Bulgular -Radyolojiunclassified

“…[18] Total küçük eklem artroplastisi, ilk başlarda el için tasarlanmış silikon implantlarla başla-mış, son yıllarda titanyum hemi veya total seramiklere dönmüştür. Potansiyel avantajları arasında; uzunluğun korunması, eklem hareketinin düzelmesi ve kondillerin korunması durumunda daha iyi yük dağılımı vardır.…”

Section: Artroplasti̇unclassified

“…2017'de Schade'nin yaptığı bir sistemik derlemede, eklem koruyucu cerrahi gerçekleştirenlerin daha fazla yayın yaptığı, toplam 257 koruyucu cerrahinin ortalama 30,4 ay takibinde %90'dan fazla ağrı azalması ve aktiviteye tam dönüş olduğu, buna karşın eklem destrüksiyonu içeren toplam 70 olgunun ortalama 15 ay takibinde %70 iyi sonuç alındığı bildirilmiştir. [18] Burada gözetilmesi gereken, metatars başı beslenmesinin bozulmamasıdır.…”

Section: Artroplasti̇unclassified

“…Tüm bu yöntemler, literatürde olgu sunumu veya serileri olarak bildirilmiş olup kanıt düzeyleri düşüktür. [18] SONUÇ Çocukluk çağı osteokondrozlar ve apofizitlerinin iyi bilinmesi, özellikle spor yapan pediatrik grubun artması ile, klinik uygulamalarda erken tanı ve tedavi sağla-yarak erken spora dönüş ve hasta memnuniyeti sağ-layacaktır. Birçoğu konservatif tedaviye yanıt veren bu patolojilerde, uzun dönemde iyi sonuçlar alınabilmesi bu konudaki farkındalığa bağlıdır.…”

Section: Di̇ğer Yöntemlerunclassified

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Çocukluk çağı ayak osteokondrozları

Akan¹

2017

TOTBID

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Treatment of Freiberg's disease using a reverse pedicled metatarsal bone flap: Case report

2023

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Despite no surgical procedures receiving unanimous support for treating Freiberg's disease, several surgical treatment options have been described. For the past few years, bone flaps have been shown in children to present promising regenerative properties. We report a novel technique using a reverse pedicled metatarsal bone flap from the first metatarsal to treat one case of Freiberg's disease in a 13‐year‐old female. The patient presented 100% involvement of the second metatarsal head, with a 6 × 2 mm defect, unresponsive to 16 months of conservative measures. A 7 mm × 3 mm pedicled metatarsal bone flap (PMBF) was obtained from the lateral proximal first metatarsal metaphysis, mobilized and pedicled distally. It was inserted at the dorsum of the distal metaphysis of the second metacarpal towards the center of the metatarsal head, reaching the subchondral bone. Initial favorable clinical and radiological results were maintained for over 36 months during the last follow‐up. Based on the powerful vasculogenic and osteogenic properties of bone flaps, this novel technique could effectively induce bone revascularization and prevent further collapse of the metatarsal's head.

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Surgical Management of Freiberg’s Infraction

Abstract: Therapeutic, Level IV: Systematic review of Level IV studies.

Cited by 35 publications

References 67 publications

Osteochondroses

Osteochondroses

Çocukluk çağı ayak osteokondrozları

Treatment of Freiberg's disease using a reverse pedicled metatarsal bone flap: Case report

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