Seybold Jeffrey D, Zide Jacob R
Twin Cities Orthopedics, 4010 West 65th Street, Edina, MN 55435, USA.
Department of Orthopaedic Surgery, Baylor University Medical Center, 3500 Gaston Avenue, Dallas, TX 75246, USA.
Foot Ankle Clin. 2018 Mar;23(1):157-169. doi: 10.1016/j.fcl.2017.09.011.
Freiberg disease, or osteochondrosis of the lesser metatarsal head, usually involves the second metatarsal and presents during the second or third decades of life. Conservative measures to relieve pressure on the affected metatarsal head are the first-line treatments, with good success for Smillie stage I to III disease. Operative treatments are divided into joint-preserving and joint-reconstructing procedures. Although multiple case series describe success with numerous techniques, there are no established guidelines for treatment. All surgical techniques carry a risk of a stiff or floating toe and transfer metatarsalgia. This article reviews the current surgical treatment options for Freiberg disease.
弗赖伯格病，即小跖骨头骨软骨病，通常累及第二跖骨，发病于人生的第二个或第三个十年。缓解患侧跖骨头压力的保守措施是一线治疗方法，对斯米利I至III期疾病疗效良好。手术治疗分为保留关节和重建关节的手术。尽管多个病例系列描述了多种技术的成功应用，但尚无既定的治疗指南。所有手术技术都有导致趾僵硬或浮动以及转移性跖骨痛的风险。本文综述了弗赖伯格病目前的手术治疗选择。
