Results of surgical treatment of patients with Freiberg – Kohler disease by original method

Background. The relevance of the problem of treating patients with Freiberg – Kohler disease is due to high morbidity; gender and age characteristics of patients; as well as the unproven effectiveness of individual treatment methods. The aim. To evaluate the clinical effectiveness of surgical treatment of patients with Freiberg – Kohler disease by the original method of osteochondroplasty of the metatarsal head. Materials and methods. A retrospective analysis of the treatment results of 35 patients suffering from Freiberg – Kohler disease and receiving surgical treatment at the Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivian in 2010– 2020 was conducted. Results. The analysis of the results showed good clinical outcomes of surgical treatment. Positive dynamics of pain syndrome indices VAS preOP – 59.1 ± 13.7; VAS postOP – 31.4 ± 9.0 (p < 0.001) and functional index for the forefoot AOFAS preOP – 62.3 ± 11.6; AOFAS postOP – 76.9 ± 8.6 (p < 0.001) were noted. The structure of complications and adverse events included contracture of the metatarsophalangeal joint; partial lysis of the graft; painful donor site syndrome and superficial infection. Conclusion. The results of treatment of patients with Freiberg – Kohler disease by osteochondroplasty of the head of the affected metatarsal bone are good. However; there is a need for further study of the effectiveness of the method.