INTRODUCTION: @entity15229 is @entity2530 of the dorsal side of a metatarsal head. The gold-standard surgical treatment is the osteotomy procedure first described by Gauthier. HYPOTHESIS: Gauthier osteotomy for @entity15229 will restore the joint space and lead to long-term clinical improvement. A retrospective study was carried out to verify this hypothesis. MATERIAL AND METHODS: This study involved 30  consecutive cases treated by a single surgeon in 28  @entity1 having a mean age of 61.2  years. These @entity1 underwent the Gauthier osteotomy procedure with one or two dorsal staples used for fixation. @entity1 were reviewed 15  days, 45  days and 3  months after the procedure, and then at the last follow-up to look for any complications and determine @entity1 satisfaction, the AOFAS score, metatarsophalangeal range of motion (ROM), sphericity of the metatarsal head, bone union and metatarsal shortening. RESULTS: The average follow-up was 6.5  years  2.2. The second metatarsal was affected in 27  cases and the third metatarsal in 3  cases. Discomfort related to the staples was noted in five cases; the staples were removed in three of them. There was one case of severe stiffening (<  20   ROM). At the last follow-up, 17  cases were very satisfied, 11 were satisfied and 2 were moderately satisfied. The average AOFAS score was 83.8  points  11.8 at the last follow-up. A mean @entity393 and 10   dorsiflexion was noted. Bone union and metatarsal head sphericity were achieved in all cases. The average shortening was 2mm  1.4. CONCLUSIONS: The Gauthier osteotomy procedure results in recovery of the metatarsal head's sphericity in every case of this series, with good clinical results and low morbidity. LEVEL OF EVIDENCE: IV, retrospective series.

Treatment of XXXX by Gauthier's dorsal cuneiform osteotomy: Retrospective study of 30  cases.

@entity2530 :: ('MESH:D010020', 'Disease') :: ['osteonecrosis'] @entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity393 :: ('MESH:D034381', 'Disease') :: ['loss of 15   plantar flexion'] @entity15229 :: ('MESH:C535636', 'Disease') :: ["Freiberg's disease"]
@entity15229 :: (MESH:C535636,Disease) :: ['Freiberg's disease']
