King-Hayata MA, Martínez-de Anda MC, King-Martínez M, King-Martínez AC, Cuéllar-Avaroma A

Language: Spanish
References: 9
Page: 75-79
PDF size: 387.83 Kb.

ABSTRACT

The Freiberg’s infraction was first described in 1914 by Albert H. Freiberg and later in 1915 by Köhler, it is a avascular necrosis of the metatarsal head, more commonly of the second metatarsal. For the treatment of the Freiberg’s infraction or avascular necrosis of the lesser metatarsals, there have been multiple techniques described. There has been described from open surgery with osteosintesis material, to arthroscopic surgery with reabsorbable materials. During this process the Wedge osteotomy technique or dorsal osteotomy appeared. This technique has good results, and its complications are in most cases related to the use of osteosintesis material. With the development of percutaneous surgery, this wedge osteotomy can be performed through a minimal incision and there is no need of osteosintesis material. In this paper we describe our experience in one case of a 21 year old female patient, with the diagnostic of Freiberg’s infraction which was treated with a wedge osteotomy performed with percutaneous surgery; and her out come one year after surgery. Conclusions: The percutaneous surgery for the treatment of Freiberg’s infraction is a good therapeutic option. There is only one surgical procedure required, there is no need for the use of osteosintesis material, and the recovery time is shorten because you can allow wait bearing form the first day after surgery.

REFERENCES

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