Arthroscopic Keller technique for Freiberg disease

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Luis Perez CarroJose Abad

Abstract

Freiberg disease is a disorder that has a predilection for the second metatarsal head. Keller excision of the base of the proximal phalanx is a procedure described for the treatment of late-stage Freiberg disease. We describe a case of a 60-year-old man, with a stage IV lesion according to Smillie's classification, treated by debridement, removal of the free body, and arthroscopic Keller excision. Arthroscopic treatment allows the patient to begin and maintain an aggressive postoperative physical therapy program immediately after surgery, thus decreasing the risk of scarring and contracture. At last evaluation, 2 years postoperatively, he is symptom-free. A suggested pattern of minimally invasive surgery management of this disease is proposed.

References

Jan 1, 1988·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·D H Bartlett
Feb 1, 1996·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·G MarescaP P Mariani
Jul 5, 2002·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Kaori HayashiNobuo Yamagami

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Citations

Aug 16, 2006·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tun Hing Lui
May 20, 2014·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Caio NeryMarco Antonio Percope de Andrade
Dec 3, 2014·Pediatric Clinics of North America·Amiethab Aiyer, William Hennrikus
Nov 1, 2012·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Sang Ki LeeWon Sik Choy
Nov 29, 2011·Foot and Ankle Clinics·Rebecca A Cerrato
Feb 1, 2011·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·M C EdmondsonA D Skyrme
Mar 3, 2015·Foot and Ankle Clinics·Tun Hing Lui, Chi Pan Yuen
May 21, 2015·Foot & Ankle Specialist·Valerie L Schade
Mar 4, 2009·Foot & Ankle International·Michael R CarmontChristopher M Blundell
Sep 10, 2008·Foot & Ankle International·Wataru MiyamotoMitsuo Ochi
Jun 2, 2010·The Journal of Bone and Joint Surgery. British Volume·V SansoneE Ungaro
May 10, 2017·Archives of Orthopaedic and Trauma Surgery·Tetsuro IshimatsuTakuaki Yamamoto
Sep 13, 2020·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Meshal A AlhadhoudMark A Glazebrook

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