Return to sporting activity after osteochondral autograft transplantation for Freiberg disease in young athletes

Introduction Freiberg disease is defined as osteochondrosis of the metatarsal head and typically occurs in adolescents with sporting activity. This study aimed to evaluate the sporting activity of young athletes after osteochondral autograft transplantation (OAT) for Freiberg disease. Materials and...

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Bibliographic Details
Published in:Archives of orthopaedic and trauma surgery 2017-07, Vol.137 (7), p.959-965
Main Authors: Ishimatsu, Tetsuro, Yoshimura, Ichiro, Kanazawa, Kazuki, Hagio, Tomonobu, Yamamoto, Takuaki
Format: Article
Language:English
Subjects:
Adolescent
Athletes
Autografts
Bone Transplantation
Female
Follow-Up Studies
Humans
Knee
Male
Medicine
Medicine & Public Health
Metatarsal Bones - abnormalities
Metatarsal Bones - diagnostic imaging
Metatarsal Bones - surgery
Metatarsus - abnormalities
Metatarsus - surgery
Orthopedics
Osteochondritis - congenital
Osteochondritis - rehabilitation
Osteochondritis - surgery
Range of Motion, Articular
Recovery of Function
Sports
Transplantation, Autologous
Trauma Surgery
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Summary:Introduction Freiberg disease is defined as osteochondrosis of the metatarsal head and typically occurs in adolescents with sporting activity. This study aimed to evaluate the sporting activity of young athletes after osteochondral autograft transplantation (OAT) for Freiberg disease. Materials and methods OAT for Freiberg disease was conducted in 12 consecutive patients between August 2008 and November 2014. The present study evaluated 10 of these patients who both undertook sporting activity preoperatively and were teenagers at the time of surgery. Clinical evaluations were performed based on the Japanese Society for Surgery of the Foot lesser metatarsophalangeal–interphalangeal scale (JSSF scale) and range of motion (ROM) of the operated metatarsophalangeal joint preoperatively and at the final follow-up (mean 24.6 months). Whether patients were able to return to sporting activity and time until return to sporting activity were evaluated, including the Halasi score to reflect the level of sporting activity. Regarding symptoms at the donor knee, the Lysholm knee scale score was evaluated at the final follow-up. Results The mean JSSF scale showed a significant improvement at the final follow-up ( p  
ISSN:0936-8051
1434-3916
DOI:10.1007/s00402-017-2712-0