Introduction: The purpose of the study was to assess the
efficacy of the dorsal closing wedge osteotomy for the
treatment of Freiburg’s infraction.
Material and Methods: Twenty patients with Freiburg’s
infraction were admitted at our hospital over a period of six
years. Patients with a normal plantar contour of the
metatarsal head were included. All patients underwent a
dorsal closing wedge osteotomy of the metatarsal.
Results: The mean Leeds Movement Performance Index
(LMPI) score was 84 (range 70-86). The mean metatarsal
shortening was 2mm. the passive flexion restriction was 16°
and extension restriction was 10°. Also, a strong negative
correlation was found between Smillie classification and
American Orthopaedic Foot and Ankle Score (AOFAS) final
score (r’s = −0.85, P < .001).
Conclusion: The dorsal closing wedge osteotomy is an
efficient and reproducible method for the management of
Freiburg’s infraction.