Arthroscopic Keller technique for Freiberg disease.

Area of Science:

• Orthopedics
• Sports Medicine
• Foot and Ankle Surgery

Background:

• Freiberg disease commonly affects the second metatarsal head.
• Late-stage Freiberg disease may require surgical intervention.
• Keller excision is a described treatment for advanced Freiberg disease.

Observation:

• A 60-year-old male patient presented with stage IV Freiberg disease.
• The patient underwent debridement, free body removal, and arthroscopic Keller excision.
• The surgical approach was minimally invasive.

Findings:

• Arthroscopic treatment facilitated immediate and aggressive postoperative physical therapy.
• This approach reduced the risk of scarring and contracture.
• The patient remained symptom-free at a 2-year postoperative follow-up.

Implications:

• Minimally invasive surgery offers a viable treatment option for advanced Freiberg disease.
• Early mobilization post-arthroscopy can improve outcomes.
• A standardized minimally invasive surgical management protocol for Freiberg disease is suggested.