Osteochondral fragment fixation for Freiberg's disease: A report of three cases

Freiberg's disease is characterized by osteonecrosis of the metatarsal head and is most common in teenage girls who play sports. Various treatment options are selected depending on the disease progression. When conservative measures fail, dorsiflexion osteotomy or osteochondral grafting are often performed. However, each approach has its drawbacks. Herein, we present three cases in which Freiberg's disease was effectively managed with osteochondral fragment fixation, circumventing the limitations associated with traditional treatment methods. We describe three teenagers with Frieberg's disease who failed to respond to conservative treatment. The osteochondral fragment was stabilized using absorbable pins, thereby preserving the articular cartilage and maintaining the joint congruity. All three patients achieved substantial pain relief and functional improvement postoperatively. Osteochondral fragment fixation is a promising alternative for the management of Freiberg's disease. This approach offers a valuable addition to the treatment armamentarium, providing patients with a minimally invasive yet effective solution for their condition.