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...

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Main Authors: Dhar SA, Mir NA, Dar TA
Format: Article
Language:English
Published: Malaysian Orthopaedic Association 2020-11-01
Series:Malaysian Orthopaedic Journal
Subjects:
Online Access:https://www.morthoj.org/2020/v14n3/freiburg-osteotomy.pdf
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author Dhar SA
Mir NA
Dar TA
author_facet Dhar SA
Mir NA
Dar TA
author_sort Dhar SA
collection DOAJ
description 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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spelling doaj.art-6931c870322043748ba3999e757f30f22022-12-21T22:56:01ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332232-111X2020-11-0114316116510.5704/MOJ.2011.025Surgical Management of Freiberg Disease by Dorsal Closing Wedge OsteotomyDhar SA0Mir NA1Dar TA2MSMSMSINTRODUCTION: 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.https://www.morthoj.org/2020/v14n3/freiburg-osteotomy.pdffreiburg infractionosteotomy
spellingShingle Dhar SA
Mir NA
Dar TA
Surgical Management of Freiberg Disease by Dorsal Closing Wedge Osteotomy
Malaysian Orthopaedic Journal
freiburg infraction
osteotomy
title Surgical Management of Freiberg Disease by Dorsal Closing Wedge Osteotomy
title_full Surgical Management of Freiberg Disease by Dorsal Closing Wedge Osteotomy
title_fullStr Surgical Management of Freiberg Disease by Dorsal Closing Wedge Osteotomy
title_full_unstemmed Surgical Management of Freiberg Disease by Dorsal Closing Wedge Osteotomy
title_short Surgical Management of Freiberg Disease by Dorsal Closing Wedge Osteotomy
title_sort surgical management of freiberg disease by dorsal closing wedge osteotomy
topic freiburg infraction
osteotomy
url https://www.morthoj.org/2020/v14n3/freiburg-osteotomy.pdf
work_keys_str_mv AT dharsa surgicalmanagementoffreibergdiseasebydorsalclosingwedgeosteotomy
AT mirna surgicalmanagementoffreibergdiseasebydorsalclosingwedgeosteotomy
AT darta surgicalmanagementoffreibergdiseasebydorsalclosingwedgeosteotomy