Author/Authors :
Özkul, Emin Dicle Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji AD, Türkiye , Gem, Mehmet Dicle Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji AD, Türkiye , Alemdar, Celil Dicle Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji AD, Türkiye , Arslan, Hüseyin Dicle Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji AD, Türkiye , Boğatekin, Ferit Diyarbakır Eğitim Araştırma Hastanesi - Ortopedi Kliniği, Türkiye , Meriç, Gökhan Balıkesir Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji AD, Türkiye
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 Metatarsophalangeal-Interphalangeal 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.
