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 plant...

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Bibliographic Details
Published in:Malaysian orthopaedic journal 2020-11, Vol.14 (3), p.161-165
Main Authors: SA, Dhar, TA, Dar
Format: Article
Language:English
Subjects:
freiburg infraction
Original Study
osteotomy
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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.
ISSN:1985-2533
2232-111X
DOI:10.5704/MOJ.2011.025