Interpositional Arthroplasty With Extensor Digitorum Brevis Tendon in Freiberg Disease
Background: No consensus has been reached in the treatment of Frieberg disease. Our aim was to evaluate medium- to long-term results of patients with advanced Freiberg disease managed with extensor digitorum brevis tendon interpositional arthroplasty. Methods: There were 24 patients (19 females, 5 m...
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| Veröffentlicht in: | Foot & ankle international 2020-11, Vol.41 (11), p.1398-1403 |
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| creator | Çevik, Nazan Akalın, Yavuz Avci, Özgür Çınar, Ali Öztürk, Alpaslan Özkan, Yüksel |
| description | Background:
No consensus has been reached in the treatment of Frieberg disease. Our aim was to evaluate medium- to long-term results of patients with advanced Freiberg disease managed with extensor digitorum brevis tendon interpositional arthroplasty.
Methods:
There were 24 patients (19 females, 5 males) managed with interpositional arthroplasty for advanced Freiberg disease between 2003 and 2015. The mean follow-up was 133.8 (range, 60-198) months. According to Smillie classification, there were 4 grade 3, 13 grade 4, and 7 grade 5 patients. Patients were evaluated preoperatively and at the final follow-up with the American Orthopaedic Foot & Ankle Society (AOFAS) score and metatarsophalangeal joint range of motion and postoperatively with visual analog scale (VAS) and subjective satisfaction evaluation. Joint space was evaluated on x-rays.
Results:
Mean AOFAS score increased (53.9 to 80.3, P = .001). Eight patients had excellent, 14 had good, and 2 had fair scores. A significant increase was found in dorsiflexion (38.1° [24°-52°] vs 55.3° [34°-65°]; P = .001) and plantarflexion (19.0° [10°-28°] vs 28.6° [19°-39°]; P = .001). Narrowing of the joint space was not seen in any patient, but expansion was determined in all patients (0.39 [0.35-0.47] vs 0.44 [0.41-0.47] cm; P = .002). Of the patients, 9 were very satisfied, 12 were satisfied, 2 were moderately satisfied, and 1 was dissatisfied. The mean postoperative VAS pain score was 1.7 ± 0.9 (0-4).
Conclusion:
After a minimum 5-year follow-up, most patients with Freiberg disease managed with interpositional arthroplasty using the extensor digitorum brevis tendon had excellent to good functional results with a widening of the joint space.
Level of Evidence:
Level IV, retrospective case series. |
| doi_str_mv | 10.1177/1071100720938769 |
| format | Article |
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No consensus has been reached in the treatment of Frieberg disease. Our aim was to evaluate medium- to long-term results of patients with advanced Freiberg disease managed with extensor digitorum brevis tendon interpositional arthroplasty.
Methods:
There were 24 patients (19 females, 5 males) managed with interpositional arthroplasty for advanced Freiberg disease between 2003 and 2015. The mean follow-up was 133.8 (range, 60-198) months. According to Smillie classification, there were 4 grade 3, 13 grade 4, and 7 grade 5 patients. Patients were evaluated preoperatively and at the final follow-up with the American Orthopaedic Foot & Ankle Society (AOFAS) score and metatarsophalangeal joint range of motion and postoperatively with visual analog scale (VAS) and subjective satisfaction evaluation. Joint space was evaluated on x-rays.
Results:
Mean AOFAS score increased (53.9 to 80.3, P = .001). Eight patients had excellent, 14 had good, and 2 had fair scores. A significant increase was found in dorsiflexion (38.1° [24°-52°] vs 55.3° [34°-65°]; P = .001) and plantarflexion (19.0° [10°-28°] vs 28.6° [19°-39°]; P = .001). Narrowing of the joint space was not seen in any patient, but expansion was determined in all patients (0.39 [0.35-0.47] vs 0.44 [0.41-0.47] cm; P = .002). Of the patients, 9 were very satisfied, 12 were satisfied, 2 were moderately satisfied, and 1 was dissatisfied. The mean postoperative VAS pain score was 1.7 ± 0.9 (0-4).
Conclusion:
After a minimum 5-year follow-up, most patients with Freiberg disease managed with interpositional arthroplasty using the extensor digitorum brevis tendon had excellent to good functional results with a widening of the joint space.
Level of Evidence:
Level IV, retrospective case series.</description><identifier>ISSN: 1071-1007</identifier><identifier>EISSN: 1944-7876</identifier><identifier>DOI: 10.1177/1071100720938769</identifier><identifier>PMID: 32674687</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Arthroplasty - methods ; Female ; Humans ; Male ; Metatarsophalangeal Joint - surgery ; Osteochondritis - surgery ; Pain Measurement ; Patient Satisfaction ; Range of Motion, Articular ; Retrospective Studies ; Surveys and Questionnaires ; Tendon Transfer - methods ; Young Adult</subject><ispartof>Foot & ankle international, 2020-11, Vol.41 (11), p.1398-1403</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-9dc93ea5f6c88a960105f1df6f562e113a55be9c3f2ec4c26527d1e92ac9da7b3</citedby><cites>FETCH-LOGICAL-c337t-9dc93ea5f6c88a960105f1df6f562e113a55be9c3f2ec4c26527d1e92ac9da7b3</cites><orcidid>0000-0002-2188-1471 ; 0000-0001-7967-7054 ; 0000-0002-9596-8502 ; 0000-0001-7362-0284</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1071100720938769$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1071100720938769$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32674687$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Çevik, Nazan</creatorcontrib><creatorcontrib>Akalın, Yavuz</creatorcontrib><creatorcontrib>Avci, Özgür</creatorcontrib><creatorcontrib>Çınar, Ali</creatorcontrib><creatorcontrib>Öztürk, Alpaslan</creatorcontrib><creatorcontrib>Özkan, Yüksel</creatorcontrib><title>Interpositional Arthroplasty With Extensor Digitorum Brevis Tendon in Freiberg Disease</title><title>Foot & ankle international</title><addtitle>Foot Ankle Int</addtitle><description>Background:
No consensus has been reached in the treatment of Frieberg disease. Our aim was to evaluate medium- to long-term results of patients with advanced Freiberg disease managed with extensor digitorum brevis tendon interpositional arthroplasty.
Methods:
There were 24 patients (19 females, 5 males) managed with interpositional arthroplasty for advanced Freiberg disease between 2003 and 2015. The mean follow-up was 133.8 (range, 60-198) months. According to Smillie classification, there were 4 grade 3, 13 grade 4, and 7 grade 5 patients. Patients were evaluated preoperatively and at the final follow-up with the American Orthopaedic Foot & Ankle Society (AOFAS) score and metatarsophalangeal joint range of motion and postoperatively with visual analog scale (VAS) and subjective satisfaction evaluation. Joint space was evaluated on x-rays.
Results:
Mean AOFAS score increased (53.9 to 80.3, P = .001). Eight patients had excellent, 14 had good, and 2 had fair scores. A significant increase was found in dorsiflexion (38.1° [24°-52°] vs 55.3° [34°-65°]; P = .001) and plantarflexion (19.0° [10°-28°] vs 28.6° [19°-39°]; P = .001). Narrowing of the joint space was not seen in any patient, but expansion was determined in all patients (0.39 [0.35-0.47] vs 0.44 [0.41-0.47] cm; P = .002). Of the patients, 9 were very satisfied, 12 were satisfied, 2 were moderately satisfied, and 1 was dissatisfied. The mean postoperative VAS pain score was 1.7 ± 0.9 (0-4).
Conclusion:
After a minimum 5-year follow-up, most patients with Freiberg disease managed with interpositional arthroplasty using the extensor digitorum brevis tendon had excellent to good functional results with a widening of the joint space.
Level of Evidence:
Level IV, retrospective case series.</description><subject>Adult</subject><subject>Arthroplasty - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Metatarsophalangeal Joint - surgery</subject><subject>Osteochondritis - surgery</subject><subject>Pain Measurement</subject><subject>Patient Satisfaction</subject><subject>Range of Motion, Articular</subject><subject>Retrospective Studies</subject><subject>Surveys and Questionnaires</subject><subject>Tendon Transfer - methods</subject><subject>Young Adult</subject><issn>1071-1007</issn><issn>1944-7876</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1PwzAQhi0EoqWwM6GMLAF_JHY8ltJCpUosBcbIcS6tqyQutoPovydVCwMS093pfe4dHoSuCb4jRIh7ggUhGAuKJcsElydoSGSSxKI_Tvu9j-N9PkAX3m8wJoIReY4GjHKR8EwM0du8DeC21ptgbKvqaOzC2tltrXzYRe8mrKPpV4DWWxc9mpUJ1nVN9ODg0_hoCW1p28i00cyBKcCtesaD8nCJzipVe7g6zhF6nU2Xk-d48fI0n4wXsWZMhFiWWjJQacV1linJMcFpRcqKVymnQAhTaVqA1KyioBNNeUpFSUBSpWWpRMFG6PbQu3X2owMf8sZ4DXWtWrCdz2lCEyk5S9IexQdUO-u9gyrfOtMot8sJzvc28782-5ebY3tXNFD-Pvzo64H4AHi1gnxjO9cr9P8XfgOr231Z</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Çevik, Nazan</creator><creator>Akalın, Yavuz</creator><creator>Avci, Özgür</creator><creator>Çınar, Ali</creator><creator>Öztürk, Alpaslan</creator><creator>Özkan, Yüksel</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2188-1471</orcidid><orcidid>https://orcid.org/0000-0001-7967-7054</orcidid><orcidid>https://orcid.org/0000-0002-9596-8502</orcidid><orcidid>https://orcid.org/0000-0001-7362-0284</orcidid></search><sort><creationdate>202011</creationdate><title>Interpositional Arthroplasty With Extensor Digitorum Brevis Tendon in Freiberg Disease</title><author>Çevik, Nazan ; Akalın, Yavuz ; Avci, Özgür ; Çınar, Ali ; Öztürk, Alpaslan ; Özkan, Yüksel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-9dc93ea5f6c88a960105f1df6f562e113a55be9c3f2ec4c26527d1e92ac9da7b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Arthroplasty - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Metatarsophalangeal Joint - surgery</topic><topic>Osteochondritis - surgery</topic><topic>Pain Measurement</topic><topic>Patient Satisfaction</topic><topic>Range of Motion, Articular</topic><topic>Retrospective Studies</topic><topic>Surveys and Questionnaires</topic><topic>Tendon Transfer - methods</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Çevik, Nazan</creatorcontrib><creatorcontrib>Akalın, Yavuz</creatorcontrib><creatorcontrib>Avci, Özgür</creatorcontrib><creatorcontrib>Çınar, Ali</creatorcontrib><creatorcontrib>Öztürk, Alpaslan</creatorcontrib><creatorcontrib>Özkan, Yüksel</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Foot & ankle international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Çevik, Nazan</au><au>Akalın, Yavuz</au><au>Avci, Özgür</au><au>Çınar, Ali</au><au>Öztürk, Alpaslan</au><au>Özkan, Yüksel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Interpositional Arthroplasty With Extensor Digitorum Brevis Tendon in Freiberg Disease</atitle><jtitle>Foot & ankle international</jtitle><addtitle>Foot Ankle Int</addtitle><date>2020-11</date><risdate>2020</risdate><volume>41</volume><issue>11</issue><spage>1398</spage><epage>1403</epage><pages>1398-1403</pages><issn>1071-1007</issn><eissn>1944-7876</eissn><abstract>Background:
No consensus has been reached in the treatment of Frieberg disease. Our aim was to evaluate medium- to long-term results of patients with advanced Freiberg disease managed with extensor digitorum brevis tendon interpositional arthroplasty.
Methods:
There were 24 patients (19 females, 5 males) managed with interpositional arthroplasty for advanced Freiberg disease between 2003 and 2015. The mean follow-up was 133.8 (range, 60-198) months. According to Smillie classification, there were 4 grade 3, 13 grade 4, and 7 grade 5 patients. Patients were evaluated preoperatively and at the final follow-up with the American Orthopaedic Foot & Ankle Society (AOFAS) score and metatarsophalangeal joint range of motion and postoperatively with visual analog scale (VAS) and subjective satisfaction evaluation. Joint space was evaluated on x-rays.
Results:
Mean AOFAS score increased (53.9 to 80.3, P = .001). Eight patients had excellent, 14 had good, and 2 had fair scores. A significant increase was found in dorsiflexion (38.1° [24°-52°] vs 55.3° [34°-65°]; P = .001) and plantarflexion (19.0° [10°-28°] vs 28.6° [19°-39°]; P = .001). Narrowing of the joint space was not seen in any patient, but expansion was determined in all patients (0.39 [0.35-0.47] vs 0.44 [0.41-0.47] cm; P = .002). Of the patients, 9 were very satisfied, 12 were satisfied, 2 were moderately satisfied, and 1 was dissatisfied. The mean postoperative VAS pain score was 1.7 ± 0.9 (0-4).
Conclusion:
After a minimum 5-year follow-up, most patients with Freiberg disease managed with interpositional arthroplasty using the extensor digitorum brevis tendon had excellent to good functional results with a widening of the joint space.
Level of Evidence:
Level IV, retrospective case series.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>32674687</pmid><doi>10.1177/1071100720938769</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-2188-1471</orcidid><orcidid>https://orcid.org/0000-0001-7967-7054</orcidid><orcidid>https://orcid.org/0000-0002-9596-8502</orcidid><orcidid>https://orcid.org/0000-0001-7362-0284</orcidid></addata></record> |
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| ispartof | Foot & ankle international, 2020-11, Vol.41 (11), p.1398-1403 |
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| language | eng |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Adult Arthroplasty - methods Female Humans Male Metatarsophalangeal Joint - surgery Osteochondritis - surgery Pain Measurement Patient Satisfaction Range of Motion, Articular Retrospective Studies Surveys and Questionnaires Tendon Transfer - methods Young Adult |
| title | Interpositional Arthroplasty With Extensor Digitorum Brevis Tendon in Freiberg Disease |
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