Orthopedic Institute of Goiania, Goiania, GO, Brazil.
Federal University of Goias, Goiania, GO, Brazil.
Foot Ankle Spec. 2021 Dec;14(6):515-520. doi: 10.1177/19386400211001972. Epub 2021 Apr 14.
Most osteochondral lesions of the first metatarsal head are likely traumatic in etiology. The treatment ranges from microfractures to mosaicplasty. In this case report, we describe a central osteochondral lesion of the first metatarsal head treated with osteochondral graft obtained from the head of the same metatarsal in combination with Moberg osteotomy. After surgical treatment, the patient's American Orthopedic Foot and Ankle Society Forefoot Scale score improved from 58 to 85, and the range of motion also improved. This technique may be an alternative treatment modality for osteochondral lesions of the first metatarsal.: .
大多数第一跖骨头的骨软骨病变的病因可能是创伤性的。治疗方法从微骨折到马赛克plasty 不等。在本病例报告中，我们描述了一例采用同种跖骨头部的骨软骨移植物治疗的第一跖骨头中央骨软骨病变，并结合 Moberg 截骨术。手术后，患者的美国矫形足踝协会前足量表评分从 58 分提高到 85 分，活动范围也有所改善。这种技术可能是治疗第一跖骨头骨软骨病变的一种替代治疗方法。
