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首页> 外文期刊>Techniques in foot & ankle surgery >Debridement and Microfracture in the Treatment of Freiberg Disease
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Debridement and Microfracture in the Treatment of Freiberg Disease

机译:清创术和微创治疗弗赖堡疾病

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摘要

Freiberg disease is an uncommon condition of anterior metatarsalgia that involves the head of fee lesser metatarsals. Several operative techniques such as dorsal wedge osteotomies and insertion of metallic spacers have been used to treat this condition. However at our institution, we perform a technique not previously described, involving microfracture of the metatarsal head and reattachment of the cartilage flap. The mean follow-up period of the 11 patients described was 49 postoperative months (18 to 96 mo). At 6 months, mean visual analog pain score at rest and on mobilizing was 2.1 (0 to 3) and 3.1 (0 to 5), respectively (P<0.05). All 11 patients had reported a satisfactory outcome and return to acceptable activity levels. This operative technique is a safe and feasible treatment option for patients suffering from late-stage Freiberg disease. It is advantageous as it does not cause shortening or other anatomic abnormalities in the area. All of our patients reported a significant reduction of pain in their feet and all were able to walk and run almost pain free. There were no reported cases of severe restriction of movement or fixed deformity of the toe. We conclude that our technique is a successful alternative operative technique for late-stage Freiberg disease.
机译:弗赖堡疾病是一种罕见的条件前跖骨痛,涉及的负责人费用较小的跖骨。背侧楔和截骨术等技术插入金属间距器被用来治疗这种情况。我们不执行技术之前,涉及微裂缝的跖骨和软骨皮瓣的回贴。随访期间的11个病人描述49术后几个月(18 - 96钼)。个月,在休息和视觉模拟疼痛评分的平均值动员是2.1(0 - 3)和3.1 (0 - 5),(分别P < 0.05)。一个令人满意的结果并返回可接受的活动水平。技术是一种安全、可行的治疗方案对患有晚期弗赖堡疾病。缩短或其他解剖异常区域。减少脚和所有的痛苦走和跑几乎无痛苦。报告病例严重限制的运动或固定的脚趾畸形。我们的技术是一个成功的选择晚期弗赖堡的手术技术疾病。

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