Surgical interventions of Freiberg's disease: A systematic review.

Freiberg's disease is an osteonecrosis of the metatarsal head bone. Numerous surgical interventions can be provided; however, the literature is limited in systematic reviews discussing the various options. The study aimed to systematically review the quantity and quality of literatures exploring the surgical interventions. Fifty articles were found to be relevant for assessing the efficacy of common surgical interventions. The articles were assigned a level of evidence (I-V) to assess their quality. Next, the studies were reviewed to provide a grade of recommendation (A-C, I). Two studies were found at level III that explored osteotomy and autologous transplantation; the other studies were level IV-V. There is poor evidence (grade C) in supporting of joint sparing and joint sacrificing for Freiberg's disease. Poor evidence exists to support the surgical interventions for Freiberg's disease, higher quality trials are needed to support the increasing application of these surgical techniques. Level IV, Systematic review. Copyright © 2020 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

Citation

Meshal A Alhadhoud, Najla F Alsiri, Timothy R Daniels, Mark A Glazebrook. Surgical interventions of Freiberg's disease: A systematic review. Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons. 2021 Aug;27(6):606-614

Mesh Tags

PMID: 32917526

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