{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T17:06:55Z","timestamp":1789060015256,"version":"build-2803163510"},"reference-count":10,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Am. Podiatr. Med. Assoc.","JAPMA"],"abstract":"<jats:p>Freiberg\u2019s disease is a rare condition involving osteochondrosis and collapse of the metatarsal head, often leading to chronic pain and impaired mobility. Traditional surgical treatments such as osteotomies, autografts, and joint replacements can relieve symptoms but may compromise joint mechanics or cause donor-site complications. In this case, a 23-year-old woman with Smillie stage 3\u20134 disease underwent a Valenti-type resectional arthroplasty combined with a folded, decellularized dermal graft spacer to preserve joint function. The procedure resulted in rapid recovery, with pain-free motion and restored within weeks. Radiographs showed remodeling of the metatarsal head, and the patient remained fully ambulatory without complications. This technique offers a promising joint-preserving alternative for young, active patients, although further research is needed to confirm its long-term efficacy.<\/jats:p>","DOI":"10.3390\/japma116050065","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T15:54:19Z","timestamp":1789055659000},"page":"65","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Valenti Arthroplasty with a Dermal Graft Spacer in Stage III\u2013IV Freiberg\u2019s Disease: A Case Report"],"prefix":"10.3390","volume":"116","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2308-342X","authenticated-orcid":false,"given":"Mohammad Junayed","family":"Khan","sequence":"first","affiliation":[{"name":"The Chautauqua Center, Dunkirk, NY 14048, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tashfia","family":"Noor","sequence":"additional","affiliation":[{"name":"Weill Cornell New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY 11215, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5758-6782","authenticated-orcid":false,"given":"Ayesha","family":"Naveed","sequence":"additional","affiliation":[{"name":"University Health Lakewood Medical Center, Kansas City, MO 64108, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadiya B.","family":"Sadiq","sequence":"additional","affiliation":[{"name":"School of Podiatric Medicine, Samuel Merritt University, Oakland, CA 94612, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajar","family":"Ouassari","sequence":"additional","affiliation":[{"name":"School of Podiatric Medicine, Barry University, Miami, FL 33161, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6233-4044","authenticated-orcid":false,"given":"Danny Basel","family":"Ghannoum","sequence":"additional","affiliation":[{"name":"Professional Education and Research Institute, Roanoke, VA 24016, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"key":"ref_1","first-page":"191","article-title":"Infraction of the second metatarsal head, a typical injury","volume":"19","author":"Freiberg","year":"1914","journal-title":"Surg. 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Res."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1177\/19476035231205676","article-title":"Evidence-based treatment algorithm for Freiberg disease","volume":"15","author":"Yoshimura","year":"2024","journal-title":"Cartilage"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1177\/107110078700800205","article-title":"Freiberg\u2019s disease: A suggested pattern of management","volume":"8","author":"Helal","year":"1987","journal-title":"Foot Ankle"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1053\/j.jfas.2024.09.009","article-title":"Comparative study of dorsiflexion closing wedge osteotomy of the metatarsal head and osteochondral autologous transplantation for Freiberg disease treatment: A multicenter analysis","volume":"64","author":"Incesoy","year":"2025","journal-title":"J. Foot Ankle Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1398","DOI":"10.1177\/1071100720938769","article-title":"Interpositional arthroplasty with extensor digitorum brevis tendon in Freiberg disease","volume":"41","author":"Avci","year":"2020","journal-title":"Foot Ankle Int."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1016\/j.fas.2019.11.009","article-title":"Valenti resection arthroplasty for hallux rigidus: A systematic review","volume":"26","author":"Samaila","year":"2020","journal-title":"Foot Ankle Surg."}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1930-8264\/116\/5\/65\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T16:09:57Z","timestamp":1789056597000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/116\/5\/65"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,10]]},"references-count":10,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,10]]}},"alternative-id":["japma116050065"],"URL":"https:\/\/doi.org\/10.3390\/japma116050065","relation":{},"ISSN":["1930-8264"],"issn-type":[{"value":"1930-8264","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,10]]}}}