自体骨软骨栓移植治疗第二跖骨头骨软骨病：一例报告。
Autologous osteochondral plug transplantation for osteochondrosis of the second metatarsal head: a case report.
作者信息
Nagura Issei, Fujioka Hiroyuki, Kokubu Takeshi, Kurosaka Masahiro
机构信息
Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe, 650-0017 Japan.
出版信息
J Med Case Rep. 2011 Jul 13;5:308. doi: 10.1186/1752-1947-5-308.
INTRODUCTION
Osteochondrosis of the second or third metatarsal head is a rare condition called Freiberg's disease. To relieve foot pain, conservative treatment with a foot orthosis to reduce weight-bearing and immobilize the foot are recommended. In cases in which such treatments have proved to be ineffective, several surgical treatments have been performed. The appropriate surgical treatment for Freiberg's disease remains controversial.
CASE PRESENTATION
We describe the case of a 20-year-old Japanese woman with a three-year history of right forefoot pain and no history of trauma. Two years after treatment by autologous osteochondral plug transplantation, she has neither complaints nor symptoms.
CONCLUSION
Autologous osteochondral plug transplantation represents a potentially successful surgical arthroplastic option in preserving the metatarsophalangeal joint in patients with Freiberg's disease.
引言
第二或第三跖骨头骨软骨病是一种罕见的病症，称为弗赖贝格病。为缓解足部疼痛，建议使用足部矫形器进行保守治疗，以减轻负重并固定足部。在这些治疗被证明无效的情况下，已实施了几种手术治疗方法。弗赖贝格病的合适手术治疗方法仍存在争议。
病例介绍
我们描述了一名20岁日本女性的病例，她有三年右前足疼痛病史，无创伤史。在接受自体骨软骨栓移植治疗两年后，她既无不适也无症状。
结论
自体骨软骨栓移植是一种潜在成功的手术关节成形术选择，可保留弗赖贝格病患者的跖趾关节。
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