Osteochondral Autologous Transplantation Versus Dorsal Closing Wedge Metatarsal Osteotomy for the Treatment of Freiberg Infraction in Athletes: A Randomized Controlled Study With 3-Year Follow-up

この研究はハイインパクトの可能性があります。 OEのAI駆動型ハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文が持つ可能性の高い影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することが可能になり、読者は将来の診療を形成する可能性が最も高い論文に集中することができます。

27 athletes with Freiberg's disease were randomized to receive surgical intervention via an Osteochondral Autologous Transplantation (OAT) or a Dorsal Closing Wedge Metatarsal Osteotomy (DCWMO). The primary outcomes of interest were the American Orthopaedic Foot and Ankle Society - lesser metatarsophalangeal-interphalangeal (AOFAS-LMI) score, pain on the Visual Analog Scale for foot and ankle (VAS-FA), dorsiflexion and plantarflexion range of motion, change in metatarsal length, and the time to return to sports and training. Follow-up was performed up to 3 years post-operation. Results revealed significantly favourable AOFAS-LMI scores in the OAT group compared to the DCWMO group at 1 and 3 years post-operation. The time to return to sports and training was significantly faster in the OAT group compared to the DCWMO group. No significant differences were observed between the two groups in VAS-FA scores, plantarflexion and dorsiflexion range of motion, or the change in metatarsal length.