{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:23:39Z","timestamp":1777613019702,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2015,8,13]],"date-time":"2015-08-13T00:00:00Z","timestamp":1439424000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Treatment for Freiberg disease 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 patients with symptomatic Freiberg disease treated with intra-articular dorsal wedge osteotomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Pediatric patients treated for Freiberg disease with surgery between January 1982 and 1999 were identified and selected for long-term clinical evaluation. Patients were evaluated regarding operative satisfaction and clinical outcome, performed according to the American Orthopaedic Foot &amp; Ankle Society (AOFAS) lesser toe metatarsophalangeal-interphalangeal scale and range of motion (ROM) of metatarsophalangeal (MTP) joint. Patients had radiographic assessment of degenerative joint status with anteroposterior and oblique foot x-ray. Twenty patients (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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The clinical outcomes of our patients 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\u2019s = \u22120.61, P &lt; .001) was found. Also, a strong negative correlation was found between Smillie classification and AOFAS final score (r\u2019s = \u22120.88, P &lt; .001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The patients were very satisfied with pain 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 Freiberg disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV, retrospective case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100715598602","type":"journal-article","created":{"date-parts":[[2015,8,13]],"date-time":"2015-08-13T23:39:26Z","timestamp":1439509166000},"page":"90-95","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["Long-term Follow-up of Dorsal Wedge Osteotomy for Pediatric Freiberg Disease"],"prefix":"10.1177","volume":"37","author":[{"given":"Bruno S.","family":"Pereira","sequence":"first","affiliation":[{"name":"Orthopedic Surgery Department, Hospital de Braga, Braga, Portugal"}]},{"given":"Tiago","family":"Frada","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery Department, Hospital de Braga, Braga, Portugal"},{"name":"Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal"}]},{"given":"Daniel","family":"Freitas","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery Department, Hospital de Braga, Braga, Portugal"}]},{"given":"Pedro","family":"Varanda","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery Department, Hospital de Braga, Braga, Portugal"}]},{"given":"Manuel","family":"Vieira-Silva","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery Department, Hospital de Braga, Braga, Portugal"}]},{"given":"Xavier Martin","family":"Oliva","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery Department, Cl\u00ednica Ntra. Sra. Del Remei, Carrer de l\u2019Escorial, Barcelona, Espanha"},{"name":"Facultad de Medicina, University of Barcelona, Casanova, Barcelona, Espanha"}]},{"given":"Rui M.","family":"Duarte","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery Department, Hospital de Braga, Braga, Portugal"},{"name":"Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal"},{"name":"ICVS\/3Bs \u2013 PT Government Associate Laboratory, Braga\/Guimar\u00e3es, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2015,8,13]]},"reference":[{"key":"bibr1-1071100715598602","first-page":"136","volume":"41","author":"Capar B","year":"2007","journal-title":"Acta Orthop Traumatol Turc"},{"key":"bibr2-1071100715598602","doi-asserted-by":"publisher","DOI":"10.3113\/FAI-2009-0167"},{"key":"bibr3-1071100715598602","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2011.08.008"},{"key":"bibr4-1071100715598602","doi-asserted-by":"publisher","DOI":"10.3109\/17453679909000985"},{"key":"bibr5-1071100715598602","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2008.08.013"},{"key":"bibr6-1071100715598602","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2009.12.001"},{"key":"bibr7-1071100715598602","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2008.0000X"},{"key":"bibr8-1071100715598602","first-page":"191","volume":"19","author":"Freiberg AH","year":"1914","journal-title":"Surg Gynaecol Obstet"},{"issue":"142","key":"bibr9-1071100715598602","first-page":"93","author":"Gauthier G","year":"1979","journal-title":"Clin Orthop Relat Res"},{"key":"bibr10-1071100715598602","doi-asserted-by":"publisher","DOI":"10.1177\/107110070302401115"},{"key":"bibr11-1071100715598602","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.32865"},{"key":"bibr12-1071100715598602","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-014-2381-3"},{"key":"bibr13-1071100715598602","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)31868-X"},{"key":"bibr14-1071100715598602","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2013.06.004"},{"key":"bibr15-1071100715598602","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.73B5.1894683"},{"key":"bibr16-1071100715598602","doi-asserted-by":"publisher","DOI":"10.1177\/1071100712460185"},{"key":"bibr17-1071100715598602","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0008"},{"key":"bibr18-1071100715598602","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(96)90229-7"},{"key":"bibr19-1071100715598602","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2008.0950"},{"key":"bibr20-1071100715598602","first-page":"33","volume":"158","author":"Omer GE","year":"1981","journal-title":"Clin Orthop"},{"key":"bibr21-1071100715598602","doi-asserted-by":"publisher","DOI":"10.3113\/FAI-2008-0488"},{"key":"bibr22-1071100715598602","doi-asserted-by":"publisher","DOI":"10.1177\/003591576706000117"},{"key":"bibr23-1071100715598602","first-page":"444","volume":"29","author":"Stanley D","year":"1990","journal-title":"J Foot Surg"},{"key":"bibr24-1071100715598602","doi-asserted-by":"publisher","DOI":"10.1016\/0958-2592(91)90038-D"},{"key":"bibr25-1071100715598602","doi-asserted-by":"publisher","DOI":"10.1177\/1938640013510314"},{"key":"bibr26-1071100715598602","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2012.1015"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1071100715598602","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1071100715598602","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1071100715598602","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:24:51Z","timestamp":1777411491000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1071100715598602"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,8,13]]},"references-count":26,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016,1]]}},"alternative-id":["10.1177\/1071100715598602"],"URL":"https:\/\/doi.org\/10.1177\/1071100715598602","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,8,13]]}}}