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KMID : 0896719970010010023
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Journal of the Korean Society of Foot Surgery
1997 Volume.1 No. 1 p.23 ~ p.29
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Surgical Treatment of Freiberg’s Disease
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Chung Duke-Whan
Lee Sang-Hoon
Lee Yong-Wook
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Abstract
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Freibergs disease is a pathologic condition of the second or third metatarsal head, rarely the for th or fifth metatarsal head, and it becomes abnormally enlarge due to avascular necrosis of subchondral cancellous bone. From Nov. 1982 to Sep. 1994, we treated surgically 10 cases of the disease who complained the continuous symptoms inspite of proper conservative management. Metatarsal head excision was done in 8 cases and resurfacing of the cartilagenous portion of the metatarsal head in 2 cases. During the average follow up of 55 months, the pain vas relieved in all patients who were underwent surgical intervention but the stiffness of the metatarsophalangeal joint was remained in most. of cases. It seems to be a logical treatment of choice in younger and actcive patients that conservative for the management is the initial treatment but more ablative procedure is needed symptoms. We can propose the metatarsal head excision or resurfacing of is effective treatment method with simple procedure and minimize morbid period than other procedures such as corrective osteatomy.
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KEYWORD
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Freibergs disease, Excision, Resurfacing
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