A Case of Osteochondral Autologous Graft Transplantation for Freiberg's Disease

  • Ida Takahiro
    Department of Orthopaedic Surgery, Fukuoka University School of Medicine, Fukuoka, Japan
  • Yoshimura Ichiro
    Department of Orthopaedic Surgery, Fukuoka University School of Medicine, Fukuoka, Japan
  • Kanazawa Kazuki
    Department of Orthopaedic Surgery, Fukuoka University School of Medicine, Fukuoka, Japan
  • Takeyama Akinori
    Department of Orthopaedic Surgery, Fukuoka University School of Medicine, Fukuoka, Japan
  • Naito Masatoshi
    Department of Orthopaedic Surgery, Fukuoka University School of Medicine, Fukuoka, Japan
  • Inoue Toshio
    Department of Orthopaedic Surgery, Hakujyuji Hospital, Fukuoka, Japan

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Other Title
  • 自家骨軟骨柱移植術を行ったFreiberg病の1例

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We performed osteochondral grafting on a patient diagnosed with late stage Freiberg's disease. The patient was a 30-year-old woman who experienced second MTP joint pain in the left side about 15 years ago. When she visited our hospital, second MTP joint pain was excruciating. X-ray films showed stage 4 lesion according to Gauthier's classification. CT scan showed free bodies and osteochondral lesion from metatarsal head dorsal to plantar. We performed osteochondral grafting after ablation of free bodies and osteophyties. Good results were obtained eight months later. Osteochondral grafting seems useful in salvage treatment for late stage Freiberg's disease.

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