Abstract
Nine excision arthroplasties were performed in eight patients with Freiberg’s disease between 1995 and 2002. All patients underwent excision of the second metatarsal head. There were five female and three male patients with an average age of 44 years (range, 17–64). The patients were assessed by a postal questionnaire at an average of 46 months postoperatively (range, 7–67). In the questionnaire, the patients were asked about pain relief, exercise tolerance, ability to wear ordinary footwear, use of any walking aids or insoles, and their overall satisfaction with the operation. The patients own subjective assessment was of a good or excellent outcome in six, fair in one, and poor in one case. We recommend excision arthroplasty as a useful treatment method after conservative measures have failed in patients with Freiberg’s disease. Shortening of the second toe occurs, but this is not a problem if the patients receive prior warning.
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