AI Article Synopsis
- Freiberg infraction is a rare condition affecting the lesser metatarsal head, often requiring surgery if conservative treatments are ineffective.
- Dorsal closing-wedge osteotomy is a surgical procedure used to realign the metatarsal head and neck, improving stability and reducing pain by allowing the healthy cartilage to connect properly.
- This technical note outlines the approach to performing this procedure, emphasizing its use primarily in the early stages of Freiberg infraction rather than in its more advanced stages.
Article Abstract
Freiberg infraction is a relatively rare osteochondrosis of the lesser metatarsal head. Operative treatment is indicated if conservative treatment fails to relieve the pain. Dorsal closing-wedge osteotomy is a realignment osteotomy of the metatarsal head and neck to redirect the articular surface, allowing the intact plantar cartilage to articulate with the proximal phalanx. The purpose of this technical note is to describe the details of arthroscopic dorsal closing-wedge osteotomy of the metatarsal head for management of Freiberg infraction. Although dorsal closing-wedge osteotomy has been proposed for the treatment of late-stage Freiberg infraction, we reserve this technique for early stages of the disease.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6926310 | PMC |
| http://dx.doi.org/10.1016/j.eats.2019.07.003 | DOI Listing |
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