Joint debridement and microfracture for treatment late-stage Freiberg-Kohler ’s disease: Long-term follow-up study

Although the etiology of Freiberg-Kohlers disease is controversial, most theories point to a vascular deficit of the metatarsal head associated with mechanical overload [1,2]. Smillie classified the natural history of Freiberg-Kohler ’s disease into five stages according to macroscopic appearance (Table 1) [3]. In the early stages of Freiberg-Kohler’s disease, such as stages I, and II conservative methods should be recommended first, whereas surgical methods are usually reserved for stages III, IV, and V [4–7].

Source: Foot and Ankle Surgery - February 27, 2018 Category: Orthopaedics Authors: Antonio Viladot, Luca Sodano, Lorenzo Marcellini Source Type: research