DOI: 10.36347/sjams.2019.v07i08.045

Pages: 2859-2861

Freiberg's disease, or Kohler's second disease, is an aseptic osteonecrosis that essentially affects the head of the 2nd metatarsal and may progress to instability of the anterior arch of the foot. Our series includes 14 cases of Freiberg's disease whose diagnosis of certainty was made by standard radiography. According to Smillie's classification, stage III is found in 7 cases, stage IV in 5 cases; stage II in one and stage V in one. Surgical treatment is performed after failure of medical treatment. The 14 operated patients of our series all benefited from an osteotomy of the metatarsal neck by resection of a dorsal bone wedge according to the technique described by Gauthier. With an average follow-up of 12 months, both clinically and radiologically, our results were consistently satisfactory.