Freiberg's Disease: Experience With Dorsal Closing Wedge Osteotomy Of The Metatarsal.

Background: The aim of this study was to evaluate the outcome and complications of dorsal closing wedge steotomy for Freiberg disease of the metatarsals. Treatment of Freiberg starts with conservative approach and ends with surgical procedure in case conservative mode fails. There is a variety of surgical procedures with no gold standard treatment. Patients & Methods: The study was conducted from March 2011 to April 2018 and a total of 15 patients were included for dorsal closing wedge osteotomy of the distal metaphysis at the neck of metatarsal and fixation with k-wires. Average age of the patients was 27.5 years with 13 female patients. All the stages of Freiberg were operated except stage I. The average follow up was 30.7 months. Results: Average metatarsal shortening of 1.4 mm was seen and the AOFAS score improved from average of 62.6 preoperatively to 83.7 at final follow up. 80 % patients had excellent and good outcome at final followup. Conclusion: We conclude that dorsal closing wedge osteotomy can be done for any stage of Freiberg disease with good and acceptable results. [ABSTRACT FROM AUTHOR]