Long-term follow-up of dorsal wedge osteotomy for pediatric freiberg disease

Detalhes bibliográficos
Autor(a) principal: Pereira, Bruno S.
Data de Publicação: 2016
Outros Autores: Frada,Tiago, Freitas, D., Varanda, Pedro, Silva, Manuel Vieira, Oliva, Xavier Martin, Duarte, Rui M.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/1822/45088
Resumo: Background: Treatment for Freiberg disease has been largely conservative despite availability of various operative options for severe or refractory cases. The aim of this study was to evaluate the long-term results of pediatric patients with symptomatic Freiberg disease treated with intra-articular dorsal wedge osteotomy. Methods: Pediatric patients treated for Freiberg disease with surgery between January 1982 and 1999 were identified and selected for long-term clinical evaluation. Patients were evaluated regarding operative satisfaction and clinical outcome, performed according to the American Orthopaedic Foot & Ankle Society (AOFAS) lesser toe metatarsophalangeal-interphalangeal scale and range of motion (ROM) of metatarsophalangeal (MTP) joint. Patients had radiographic assessment of degenerative joint status with anteroposterior and oblique foot x-ray. Twenty patients (18 female, 2 male; mean age 15.2 years; range 12-17 years) were identified. The mean follow-up period was 23.4 (range 15-32) years. Results: The clinical outcomes of our patients were classified as excellent in 16 (80%) and good in 4 (20%). The AOFAS mean score was 96.8 (range 91-100) points at the last clinical appointment. A negative correlation between AOFAS score and time of follow-up (r's = -0.61, P < .001) was found. Also, a strong negative correlation was found between Smillie classification and AOFAS final score (r's = -0.88, P < .001). Conclusion: The patients were very satisfied with pain and quality of life at a mean follow-up time of 23.4 years. To our knowledge, this is the first long-term follow-up report supporting the procedure described by Gauthier and Elbaz as a good option for operative treatment of Freiberg disease.
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spelling Long-term follow-up of dorsal wedge osteotomy for pediatric freiberg diseaseForefoot disordersFreiberg diseaseGauthier and ElbazMetatarsal headsDorsal wedge osteotomyScience & TechnologyBackground: Treatment for Freiberg disease has been largely conservative despite availability of various operative options for severe or refractory cases. The aim of this study was to evaluate the long-term results of pediatric patients with symptomatic Freiberg disease treated with intra-articular dorsal wedge osteotomy. Methods: Pediatric patients treated for Freiberg disease with surgery between January 1982 and 1999 were identified and selected for long-term clinical evaluation. Patients were evaluated regarding operative satisfaction and clinical outcome, performed according to the American Orthopaedic Foot & Ankle Society (AOFAS) lesser toe metatarsophalangeal-interphalangeal scale and range of motion (ROM) of metatarsophalangeal (MTP) joint. Patients had radiographic assessment of degenerative joint status with anteroposterior and oblique foot x-ray. Twenty patients (18 female, 2 male; mean age 15.2 years; range 12-17 years) were identified. The mean follow-up period was 23.4 (range 15-32) years. Results: The clinical outcomes of our patients were classified as excellent in 16 (80%) and good in 4 (20%). The AOFAS mean score was 96.8 (range 91-100) points at the last clinical appointment. A negative correlation between AOFAS score and time of follow-up (r's = -0.61, P < .001) was found. Also, a strong negative correlation was found between Smillie classification and AOFAS final score (r's = -0.88, P < .001). Conclusion: The patients were very satisfied with pain and quality of life at a mean follow-up time of 23.4 years. To our knowledge, this is the first long-term follow-up report supporting the procedure described by Gauthier and Elbaz as a good option for operative treatment of Freiberg disease.info:eu-repo/semantics/publishedVersionSAGE Publications IncUniversidade do MinhoPereira, Bruno S.Frada,TiagoFreitas, D.Varanda, PedroSilva, Manuel VieiraOliva, Xavier MartinDuarte, Rui M.20162016-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/45088eng1071-100710.1177/107110071559860226276134https://www.ncbi.nlm.nih.gov/pubmed/26276134info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:36:18Zoai:repositorium.sdum.uminho.pt:1822/45088Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:32:21.462058Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Long-term follow-up of dorsal wedge osteotomy for pediatric freiberg disease
title Long-term follow-up of dorsal wedge osteotomy for pediatric freiberg disease
spellingShingle Long-term follow-up of dorsal wedge osteotomy for pediatric freiberg disease
Pereira, Bruno S.
Forefoot disorders
Freiberg disease
Gauthier and Elbaz
Metatarsal heads
Dorsal wedge osteotomy
Science & Technology
title_short Long-term follow-up of dorsal wedge osteotomy for pediatric freiberg disease
title_full Long-term follow-up of dorsal wedge osteotomy for pediatric freiberg disease
title_fullStr Long-term follow-up of dorsal wedge osteotomy for pediatric freiberg disease
title_full_unstemmed Long-term follow-up of dorsal wedge osteotomy for pediatric freiberg disease
title_sort Long-term follow-up of dorsal wedge osteotomy for pediatric freiberg disease
author Pereira, Bruno S.
author_facet Pereira, Bruno S.
Frada,Tiago
Freitas, D.
Varanda, Pedro
Silva, Manuel Vieira
Oliva, Xavier Martin
Duarte, Rui M.
author_role author
author2 Frada,Tiago
Freitas, D.
Varanda, Pedro
Silva, Manuel Vieira
Oliva, Xavier Martin
Duarte, Rui M.
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade do Minho
dc.contributor.author.fl_str_mv Pereira, Bruno S.
Frada,Tiago
Freitas, D.
Varanda, Pedro
Silva, Manuel Vieira
Oliva, Xavier Martin
Duarte, Rui M.
dc.subject.por.fl_str_mv Forefoot disorders
Freiberg disease
Gauthier and Elbaz
Metatarsal heads
Dorsal wedge osteotomy
Science & Technology
topic Forefoot disorders
Freiberg disease
Gauthier and Elbaz
Metatarsal heads
Dorsal wedge osteotomy
Science & Technology
description Background: Treatment for Freiberg disease has been largely conservative despite availability of various operative options for severe or refractory cases. The aim of this study was to evaluate the long-term results of pediatric patients with symptomatic Freiberg disease treated with intra-articular dorsal wedge osteotomy. Methods: Pediatric patients treated for Freiberg disease with surgery between January 1982 and 1999 were identified and selected for long-term clinical evaluation. Patients were evaluated regarding operative satisfaction and clinical outcome, performed according to the American Orthopaedic Foot & Ankle Society (AOFAS) lesser toe metatarsophalangeal-interphalangeal scale and range of motion (ROM) of metatarsophalangeal (MTP) joint. Patients had radiographic assessment of degenerative joint status with anteroposterior and oblique foot x-ray. Twenty patients (18 female, 2 male; mean age 15.2 years; range 12-17 years) were identified. The mean follow-up period was 23.4 (range 15-32) years. Results: The clinical outcomes of our patients were classified as excellent in 16 (80%) and good in 4 (20%). The AOFAS mean score was 96.8 (range 91-100) points at the last clinical appointment. A negative correlation between AOFAS score and time of follow-up (r's = -0.61, P < .001) was found. Also, a strong negative correlation was found between Smillie classification and AOFAS final score (r's = -0.88, P < .001). Conclusion: The patients were very satisfied with pain and quality of life at a mean follow-up time of 23.4 years. To our knowledge, this is the first long-term follow-up report supporting the procedure described by Gauthier and Elbaz as a good option for operative treatment of Freiberg disease.
publishDate 2016
dc.date.none.fl_str_mv 2016
2016-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/1822/45088
url http://hdl.handle.net/1822/45088
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1071-1007
10.1177/1071100715598602
26276134
https://www.ncbi.nlm.nih.gov/pubmed/26276134
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SAGE Publications Inc
publisher.none.fl_str_mv SAGE Publications Inc
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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