Autogenous Osteochondral Graft for Freiberg's Disease (A Case Report)

자가 골연골 이식술을 이용한 Freiberg 병의 치료(1예 보고)

  • Kim, Hyong-Nyun (Department of Orthopedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Eom, Sang-Wha (Department of Orthopedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Suh, Dong-Hyun (Department of Orthopedic Surgery, Himchan Hospital) ;
  • Park, Yong-Wook (Department of Orthopedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine)
  • 김형년 (한림대학교 강남성심병원 정형외과학교실) ;
  • 엄상화 (한림대학교 강남성심병원 정형외과학교실) ;
  • 서동현 (힘찬 병원) ;
  • 박용욱 (한림대학교 강남성심병원 정형외과학교실)
  • Published : 2009.12.15

Abstract

Freiberg disease is a osteochondrosis of the lesser metatarsal heads. Various surgical treatment have been recommanded including joint debridement and metatarsal head reshaping, metatarsal dorsal wedge osteotomy, metatarsal head excision and joint arthroplasty. Autogenous osteochondral graft for the treatment of Freiberg disease is an effective restorative procedure that provides early range of motion exercise, weight bearing, and reduces other morbidity. We report a case of late stage Freiberg disease treated with arthrotomy, removal of loose body and autogenous osteochondral graft.

Keywords

References

  1. Ahn JH, Lee SH, Lee KW, Choy WS and Kam BS: Treatment of Freiberg disease with metatarsophalangeal arthroscopy. J Korean Arthroscopy Soc, 11: 59-62, 2007.
  2. Bordelon RL: Silicone implant for freiberg’s disease. South Med J, 70: 1002-1004, 1977. https://doi.org/10.1097/00007611-197708000-00032
  3. Braddock G: Experimental epiphyseal injury and Freiberg's disease. J Bone Joint Surg, 41-B: 154-159, 1959.
  4. Chao KH, Lee CH and Lin LC: Surgery for symptomatic freiberg’s disease: Extraarticular dorsal closing-wedge osteotomy in 13 patients followed for 2-4 years. Acta Orthop Scand, 70: 483-486, 1999. https://doi.org/10.3109/17453679909000985
  5. Freiberg AH: The infraction of the second metatarsal bone. Surg Gynecol Obstetr, 14: 191-193, 1914.
  6. Gauthier G and Elbaz R: Freiberg's infraction: A subchondral bone fatigue fracture. A new surgical treatment. Clin Orthop Relat Res, 142: 93-95, 1979.
  7. Hangody L and Fules P: Autologous osteochondral mosaicplasty for the treatment of full-thickness defects of weightbearing joints: Ten years of experimental and clinical experience. J Bone Joint Surg Am, 85-A Suppl 2: 25-32, 2003.
  8. Hayashi K, Ochi M, Uchio Y, Takao M, Kawasaki K and Yamagami N: A new surgical technique for treating bilateral Freiberg disease. Arthroscopy, 18: 660-664, 2002. https://doi.org/10.1053/jars.2002.32865
  9. Kinnard P and Lirette R: Freiberg’s disease and dorsiflexion osteotomy. J Bone Joint Surg, 73-B: 864-865, 1991.
  10. Maresca G, Adriani E, Falez F and Mariani PP: Arthroscopic treatment of bilateral Freiberg's infraction. Arthroscopy, 12: 103-108, 1996. https://doi.org/10.1016/S0749-8063(96)90229-7
  11. Miller ML, Lenet MD and Sherman M: Surgical treatment of freiberg’s infraction with the use of total joint replacement arthroplasty. J Foot Surg, 23: 35-40, 1984.
  12. Shih AT, Quint RE, Armstrong DG and Nixon BP: Treatment of Freiberg’s infraction with the titanium hemi-implant. J Am Podiatr Med Assoc, 94: 590-593, 2004.
  13. Smillie IS: Treatment of freiberg's infraction. Proc R Soc Med, 60: 29-31, 1967.
  14. Smith TW, Stanley D and Rowley DI: Treatment of freiberg’s disease. A new operative technique. J Bone Joint Surg, 73-B: 129-130, 1991.
  15. Stanley D, Betts RP, Rowley DI and Smith TW: Assessment of etiologic factors in the development of Freiberg’s disease. J Foot Surg, 29: 444-447, 1990.
  16. Yamashita F, Sakakida K, Suzu F and Takai S: The transplantation of an autogeneic osteochondral fragment for osteochondritis dissecans of the knee. Clin Orthop Relat Res, 201: 43-50, 1985.