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Freiberg`s disease of lesser metatarsals treated with bone grafting and autologous matrix induced chondrogenesis (AMIC) membrane - A series of 10 cases.
Rajeev, Aysha; Yallop, William; Devalia, Kailash.
Afiliação
  • Rajeev A; Department of Trauma and Orthopaedics, Gateshead Health Foundation NHS Trust, Sheriff Hill, Gateshead, Tyne and Wear NE9 6SX, United Kingdom. Electronic address: asrajeev18@gmail.com.
  • Yallop W; Department of Trauma and Orthopaedics, Gateshead Health Foundation NHS Trust, Sheriff Hill, Gateshead, Tyne and Wear NE9 6SX, United Kingdom. Electronic address: w.yallop@nhs.net.
  • Devalia K; Department of Trauma and Orthopaedics, Gateshead Health Foundation NHS Trust, Sheriff Hill, Gateshead, Tyne and Wear NE9 6SX, United Kingdom. Electronic address: K.devalia@nhs.net.
Foot Ankle Surg ; 29(2): 136-142, 2023 Feb.
Article em En | MEDLINE | ID: mdl-36572615
BACKGROUND: Freiberg's infraction is osteonecrosis of lesser metatarsal heads most commonly affecting adolescent females. They usually present with pain and swelling of the forefoot. MRI is useful investigation in the early diagnosis. It is a self-limiting disease and the main stay of treatment is non operative. Surgery is indicated in failed conservative management which include open debridement, cheilectomy, micro fracture, osteotomies and excision arthroplasty with varying success. METHODS: A retrospective analysis of ten patients with Freiberg`s disease of the lesser metatarsals treated with open debridement, microfracture, bone grafting and application of AMIC (Autologous Matrix induced Chondroplasty) membrane was carried out. The patients were followed up to five years and the outcome measures were scored using Manchester-Oxford Foot Questionnaire (MOxFQ) and EQVAS best health scores. RESULTS: The mean age was 42.7 years and follow-up time was 36.4 months. The most common site was second metatarsal, eight (80%) followed by third metatarsal, two (20%). The mean base line MOxFQ was 72.5 (95% CI- 45 ± 100) which improved to 42.5 (95%CI- 2.5 ± 82.5) at one year. The mean baseline VAS improved from 26.4(10.2 ± 42.6) to 30.3 (95%CI- 2.1 ± 58.5) at one year. The mean MOxFQ and VAS at the end of 36 months was 31.4(95%CI-6.6 ± 57.2) and47.3(4.3 ± 80.3) respectively. CONCLUSIONS: Open debridement of the Freiberg`s disease combined with microfracture of the defect, bone grafting and application of AMIC membrane shows reliable functional and radiological outcomes at short term follow up.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ossos do Metatarso / Fraturas de Estresse Tipo de estudo: Screening_studies Limite: Adolescent / Adult / Female / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ossos do Metatarso / Fraturas de Estresse Tipo de estudo: Screening_studies Limite: Adolescent / Adult / Female / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article