Improved Function, Time to Return to Sports with OAT vs osteotomy for Freiberg's disease

Study Type:Randomized Trial

OE Level Evidence:2

Journal Level of Evidence:2

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

Am J Sports Med. 2019 Aug;47(10):2367-2373

Contributing Authors: D Georgiannos K Tsikopoulos D Kitridis P Givisis I Bisbinas

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Synopsis

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...