Surgical Management of Freiberg Disease by Dorsal Closing Wedge Osteotomy release_c3als3exwrfhnkyvcyh72hcdae

by Dhar SA, Mir NA, Dar TA

Published in Malaysian Orthopaedic Journal by Malaysian Orthopaedic Association .

Volume 14, Issue 3 p161-165 (2020)

Abstract

The purpose of the study was to assess the efficacy of the dorsal closing wedge osteotomy for the treatment of Freiburg's infraction. 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. 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). The dorsal closing wedge osteotomy is an efficient and reproducible method for the management of Freiburg's infraction.
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