Surgical Management of Freiberg Disease by Dorsal Closing Wedge Osteotomy
INTRODUCTION: The purpose of the study was to assess the efficacy of the dorsal closing wedge osteotomy for the treatment of Freiburg’s infraction. MATERIALS AND METHODS: Twenty patients with Freiburg’s infraction were admitted at our hospital over a period of six years. Patients with a normal plan...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Malaysian Orthopaedic Association
2020-11-01
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| Series: | Malaysian Orthopaedic Journal |
| Subjects: | |
| Online Access: | https://www.morthoj.org/2020/v14n3/freiburg-osteotomy.pdf |
| Summary: | INTRODUCTION: The purpose of the study was to assess the efficacy of the dorsal closing wedge osteotomy for the treatment of Freiburg’s infraction.
MATERIALS AND METHODS: Twenty patients with Freiburg’s infraction were admitted at our hospital over a period of six years. Patients with a normal plantar contour of the metatarsal head were included. All patients underwent a dorsal closing wedge osteotomy of the metatarsal.
RESULTS: The mean Leeds Movement Performance Index (LMPI) score was 84 (range 70-86). The mean metatarsal shortening was 2mm. the passive flexion restriction was 16° and extension restriction was 10°. Also, a strong negative correlation was found between Smillie classification and American Orthopaedic Foot and Ankle Score (AOFAS) final score (r’s = −0.85, P < .001).
CONCLUSION: The dorsal closing wedge osteotomy is an efficient and reproducible method for the management of Freiburg’s infraction. |
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| ISSN: | 1985-2533 2232-111X |