tailieunhanh - Báo cáo khoa học: "Autologous osteochondral plug transplantation for osteochondrosis of the second metatarsal head: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Autologous osteochondral plug transplantation for osteochondrosis of the second metatarsal head: a case report. | Nagura et al. Journal of Medical Case Reports 2011 5 308 http content 5 1 308 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Autologous osteochondral plug transplantation for osteochondrosis of the second metatarsal head a case report Issei Nagura1 Hiroyuki Fujioka2 Takeshi Kokubu1 and Masahiro Kurosaka1 Abstract Introduction Osteochondrosis of the second or third metatarsal head is a rare condition called Freiberg s disease. To relieve foot pain conservative treatment with a foot orthosis to reduce weight-bearing and immobilize the foot are recommended. In cases in which such treatments have proved to be ineffective several surgical treatments have been performed. The appropriate surgical treatment for Freiberg s disease remains controversial. Case presentation We describe the case of a 20-year-old Japanese woman with a three-year history of right forefoot pain and no history of trauma. Two years after treatment by autologous osteochondral plug transplantation she has neither complaints nor symptoms. Conclusion Autologous osteochondral plug transplantation represents a potentially successful surgical arthroplastic option in preserving the metatarsophalangeal joint in patients with Freiberg s disease. Introduction Osteochondrosis of the second or third metatarsal head is a rare condition called Freiberg s disease 1-3 . Generally to relieve the associated foot pain conservative treatment including a foot orthosis to reduce weightbearing and immobilize the foot are recommended. These are especially effective in the early stages of Freiberg s disease 3 . However in cases where these treatments have resulted in failure several surgical treatments such as synovectomy osteotomy and excision have been performed. There is still some controversy concerning the appropriate surgical treatment for Freiberg s disease 3 . We report a case of Freiberg s disease treated by autologous osteochondral plug transplantation. Case report We report the