Surgical treatment of advanced stage Freiberg disease
Journal Title: Dicle Tıp Dergisi - Year 2014, Vol 41, Issue 3
Abstract
Objective:Freiberg disesase is an avascular necrosis of the 2nd and 3rd metatarsal head and which kind of surgical option to be used is controversial in symptomatic patients. In this study the results of the advanced stage Freiberg’s disease patients, who were treated with surgery were evaluated. Methods:12 patients (8 female, 4 male) whose pain could not be solved with conservative method and underwent surgery (6 debridement, 3 osteotomy, 3 excision of the metatarsal head) were included in this study. The mean age of the patients 19.1 (range 13- 31) and the mean follow-up 30.8(range 25-94) months. According to the Smillie classification 3 patients had type 5, 8 patients had type 4 and 1 patient had type 3 osteonecrosis. The results of the patients were evaluated according to Lesser Metatarsophalangeal-Interphalangeal Scale. Results:According to Lesser MetatarsophalangealInterphalangeal Scale 3 patients (%25) had excellent, 6 patients (%50) had good and 3 patients had poor results were obtained. 2 of 3 patients with poor results were type 5, and 1 patient was type 4 and all three patients underwent joint debridement. Conclusion:The method of surgical treatment of Freiberg disease determined according to the stage of the disease. Debridement alone in the treatment of patients with late stage is not enough, it should be combined with other methods. Key words:Freiberg disease, surgical treatment, avascular necrosis
Authors and Affiliations
Emin Özkul, Mehmet Gem, Celil Alemdar, Hüseyin Arslan, Ferit Boğatekin, Gökhan Meriç
Keywords
Related Articles
- EP ID EP152768
- DOI 10.5798/diclemedj.0921.2014.03.0462
- Views 115
- Downloads 0
Vücutta farklı lokalizasyonlardaki apse odaklarının trokar tip kateterle tek basamakta tedavisi: İki yıllık deneyim sonuçları
Amaç: Bu çalışmanın amacı görüntüleme eşliğinde perkütan apse drenajı için trokar tip kateterin kullanımını pratikliğini ve ekonomik olup olmadığını araştırmaktır. Gereç ve Yöntem: Haziran 2008-Aralık 2010 tarihleri ara...
Surgical removal of infraauriculer recurrent dermatofibrosarcoma protuberans and reconstruction with bilobed flap
Dermatofibrosarcoma protuberance is a rare skin tumor which has slowly growing, low metastasis capacity but can be locally agressive. This is a case report about a patient who was operated in an other medical center for...
Koroner bypass ameliyatı öncesi trimetazidin kullanımının oksidatif parametreler üzerine etkileri
Amaç: Koroner arter bypass greft cerrahi (KABG)’sinde oluşan miyokardiyal iskemi- reperfüzyon hasarı üzerinde trimetazidin (TMZ) kullanımının koruyucu etkisinin prospektif olarak araştırılması amaçlandı. Yöntemler: 2...
Evaluation of patients who admitted to hospital due to accidentally falling objects on them
Objective: Accidents at home, office, or outdoor environment are one of the leading cause of injury and death, especially in children. The aim of this study is the evaluation of patients admitted to our hospital due to...
Psoriasis vulgarisli hastalarda adiponectin, leptin ve apelin düzeylerinin araştırılması
Amaç: Psoriasis multi faktöriyel etyolojili, kronik, T hücre aracılı inflamatuvar bir deri hastalığıdır. Adiponektin, leptin ve apelin adipoz dokulardan sekrete edilen ve T hücre immunitesi üzerinde rol oynayan adipok...