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Freiberg's Infraction: Surgical Options.

Hans-Jörg Trnka1, Javier Serrano Lara2

  • 1Foot and Ankle Center, Alserstrasse 43/8d, Vienna 1170, Austria.

Foot and Ankle Clinics
|October 27, 2019
PubMed
Summary

Freiberg's infraction, a rare condition affecting lesser metatarsophalangeal joints, predominantly impacts females. Joint-preserving procedures offer higher success rates for pain resolution and return to activity compared to destructive methods.

Keywords:
Avascular necrosisFeiberg’s infractionMetatarsalOsteotomies

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Area of Science:

  • Orthopedics
  • Pediatric Orthopedics
  • Sports Medicine

Background:

  • Freiberg's infraction is an uncommon osteochondrosis affecting the lesser metatarsophalangeal joints, typically presenting in adolescents (11-17 years).
  • It uniquely demonstrates a female predilection, with a female-to-male ratio of 5.1:1.
  • The condition most commonly involves the second metatarsal (68%), followed by the third (27%) and fourth (3%).

Purpose of the Study:

  • To review the epidemiology and surgical treatment outcomes for Freiberg's infraction.
  • To compare the efficacy of joint-destructive versus joint-preserving surgical procedures.

Main Methods:

  • Literature review of studies on Freiberg's infraction.
  • Analysis of surgical treatment outcomes, categorizing procedures into joint-destructive and joint-preserving.

Main Results:

  • Joint-destructive procedures reported a 70% success rate for pain resolution and return to activities.
  • Joint-preserving procedures demonstrated a success rate exceeding 90% for pain resolution and return to activities.

Conclusions:

  • Freiberg's infraction is a distinct osteochondrosis with a significant female predominance.
  • Joint-preserving surgical interventions appear to yield superior outcomes for Freiberg's infraction compared to joint-destructive methods.