{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:20:53Z","timestamp":1789518053834,"version":"build-2803163510"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T00:00:00Z","timestamp":1684195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Despite no surgical procedures receiving unanimous support for treating Freiberg's disease, several surgical treatment options have been described. For the past few years, bone flaps have been shown in children to present promising regenerative properties. We report a novel technique using a reverse pedicled metatarsal bone flap from the first metatarsal to treat one case of Freiberg's disease in a 13\u2010year\u2010old female. The patient presented 100% involvement of the second metatarsal head, with a 6\u2009\u00d7\u20092\u2009mm defect, unresponsive to 16\u2009months of conservative measures. A 7\u2009mm\u2009\u00d7\u20093\u2009mm pedicled metatarsal bone flap (PMBF) was obtained from the lateral proximal first metatarsal metaphysis, mobilized and pedicled distally. It was inserted at the dorsum of the distal metaphysis of the second metacarpal towards the center of the metatarsal head, reaching the subchondral bone. Initial favorable clinical and radiological results were maintained for over 36\u2009months during the last follow\u2010up. Based on the powerful vasculogenic and osteogenic properties of bone flaps, this novel technique could effectively induce bone revascularization and prevent further collapse of the metatarsal's head.<\/jats:p>","DOI":"10.1002\/micr.31058","type":"journal-article","created":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T07:39:45Z","timestamp":1684222785000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Treatment of Freiberg's disease using a reverse pedicled metatarsal bone flap: Case report"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1759-9868","authenticated-orcid":false,"given":"Francisco","family":"Soldado","sequence":"first","affiliation":[{"name":"Surgery and Morphological Sciences Universitat Aut\u00f3noma de Barcelona (UAB)  Barcelona Spain"},{"name":"Orthopediatrics Surgery Department Hospital Universitari Vall d'Hebron  Barcelona Spain"},{"name":"International Pediatric Hand Surgery and Microsurgery Institute, Barcelona University Children's Hospital HM Nens HM Hospitales  Barcelona Spain"},{"name":"Bioengineering, Cell Therapy and Surgery in Congenital Malformations \u2013 VHIR Hospital Universitari Vall d'Hebron  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4888-7822","authenticated-orcid":false,"given":"Felipe","family":"Moreira Borim","sequence":"additional","affiliation":[{"name":"Surgery and Morphological Sciences Universitat Aut\u00f3noma de Barcelona (UAB)  Barcelona Spain"},{"name":"Orthopediatrics Surgery Department Hospital Universitari Vall d'Hebron  Barcelona Spain"},{"name":"Bioengineering, Cell Therapy and Surgery in Congenital Malformations \u2013 VHIR Hospital Universitari Vall d'Hebron  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Kn\u00f6rr","sequence":"additional","affiliation":[{"name":"Surgery and Morphological Sciences Universitat Aut\u00f3noma de Barcelona (UAB)  Barcelona Spain"},{"name":"Orthopediatrics Surgery Department Hospital Universitari Vall d'Hebron  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.08.019"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2005.02.010"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.3113\/FAI-2009-0167"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2429-x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22452"},{"key":"e_1_2_7_7_1","first-page":"191","article-title":"Infraction of second metatarsal bone, a typical injury","volume":"19","author":"Freiberg A.","year":"1914","journal-title":"Surgery, Gynecology and Obstetrics"},{"issue":"3","key":"e_1_2_7_8_1","first-page":"309","article-title":"Vascularized bone grafts in children. Specifics and indications","volume":"45","author":"Gilbert A.","year":"2000","journal-title":"Annales de Chirurgie Plastique et Esth\u00e9tique"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1249\/JSR.0b013e3181f19488"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31829acedd"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182a97de6"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B3.21846"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034513506445"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-199505000-00006"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200912000-00003"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202300604"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1938640015585966"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2017.09.011"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22045"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199505000-00004"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2018.11.003"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.31009"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.31058","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,8]],"date-time":"2024-02-08T06:56:15Z","timestamp":1707375375000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.31058"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,16]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1002\/micr.31058"],"URL":"https:\/\/doi.org\/10.1002\/micr.31058","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,16]]},"assertion":[{"value":"2022-11-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e31058"}}