Dorsiflexion osteotomy in Freiberg's disease

Area of Science:

• Orthopedic Surgery
• Podiatric Medicine

Background:

• Freiberg's disease is a condition affecting the metatarsophalangeal joints.
• Symptomatic Freiberg's disease can significantly impact patient quality of life.
• Surgical intervention is sometimes necessary for persistent symptoms.

Purpose of the Study:

• To evaluate the postsurgical outcomes of dorsiflexion osteotomy in patients with Freiberg's disease.
• To assess patient satisfaction, clinical results, and radiographic changes following the procedure.

Main Methods:

• Retrospective study of 10 patients undergoing dorsiflexion osteotomy.
• Evaluation included patient satisfaction, clinical examination, and radiographic measurements.
• Average follow-up duration was 36.5 months.

Main Results:

• All patients reported excellent results with the dorsiflexion osteotomy.
• Minimal loss of metatarsophalangeal motion was observed.
• Average radiological metatarsal shortening was 2.3 mm, with no postoperative metatarsalgia.

Conclusions:

• Dorsiflexion osteotomy is a reliable and effective treatment for symptomatic Freiberg's disease.
• The procedure demonstrates favorable long-term outcomes and is not destructive.
• It offers a reasonable surgical option, preserving potential for future interventions if needed.