BACKGROUND: Treatment for @entity15229 has been largely conservative despite availability of various operative options for severe or refractory cases. The aim of this study was to evaluate the long-term results of pediatric @entity1 with symptomatic @entity15229 treated with intra-articular dorsal wedge osteotomy. METHODS: Pediatric @entity1 treated for @entity15229 with surgery between January 1982 and 1999 were identified and selected for long-term clinical evaluation. @entity1 were evaluated regarding operative satisfaction and clinical outcome, performed according to the American Orthopaedic Foot _ Ankle Society (AOFAS) lesser toe metatarsophalangeal-interphalangeal scale and range of motion (ROM) of metatarsophalangeal (MTP) joint. @entity1 had radiographic assessment of degenerative joint status with anteroposterior and oblique foot x-ray. Twenty @entity1 (18 female, 2 male; mean age 15.2 years; range 12-17 years) were identified. The mean follow-up period was 23.4 (range 15-32) years. RESULTS: The clinical outcomes of our @entity1 were classified as excellent in 16 (80%) and good in 4 (20%). The AOFAS mean score was 96.8 (range 91-100) points at the last clinical appointment. A negative correlation between AOFAS score and time of follow-up (r's = -0.61, P < .001) was found. Also, a strong negative correlation was found between Smillie classification and AOFAS final score (r's = -0.88, P < .001). CONCLUSION: The @entity1 were very satisfied with @entity158 and quality of life at a mean follow-up time of 23.4 years. To our knowledge, this is the first long-term follow-up report supporting the procedure described by Gauthier and Elbaz as a good option for operative treatment of @entity15229 . LEVEL OF EVIDENCE: Level IV, retrospective case series.

Long-term Follow-up of Dorsal Wedge Osteotomy for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'Patients'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity15229 :: ('MESH:C535636', 'Disease') :: ['Freiberg disease']
@entity15229 :: (MESH:C535636,Disease) :: ['Pediatric Freiberg Disease']
