Ii have a question about surgery?? any doctors in here ?!
Question: Ii have a question about surgery.?.? any doctors in here .?
i have osteonecrosis of the second metatarsal head in my left foot. and i am 17 years old. i want the surgery done to fix it, but i want to know if that will help with anything, i am unable to bed my toe right now, which prevents me from alot, like running, standing on my toes, wearing heels... and i walk with a limp, especially when it gets really cold. i want to know if the surgery is going to help anything and if it would be the best choice for me. please help :)Health Question & Answer
Answers:
Freiberg's disease is avascular necrosis of the metatarsal head.
Progression of the disease (avascular / asceptic necrosis) could be halted by transplanting nucleated cells from bone marrow into avascular necrosis lesions after core decompression, although more research is needed to establish this technique.
Surgical options include:
* A bone graft
* A bone graft along with its blood supply (vascularized bone graft)
* Cutting the bone and changing its alignment to relieve stress on the bone or joint (osteotomy)
* Total joint replacement, in very advanced cases
* Removing part of the inside of the bone (core decompression) to relieve pressure and allow new blood vessels to form
Surgery
Surgical procedures for people with avascular necrosis include:
* Core decompression. In this operation, your surgeon removes part of the inner layer of your bone. This relieves pressure within your bone, reducing your pain. The extra space allows your bone to form new blood vessels and stimulate the production of new bone. Core decompression works best in people with early-stage avascular necrosis.
* Bone reshaping (osteotomy). This procedure reshapes the bone to reduce the amount of stress placed on the area affected by avascular necrosis. Osteotomy is usually used in people with advanced avascular necrosis. Recovery may take up to a year.
* Bone transplant (graft). During this procedure, your surgeon takes healthy bone from another part of your body and implants it into the area affected by avascular necrosis. Sometimes this is done in conjunction with a core decompression. Recovery may take six to 12 months. More studies are needed to establish the effectives of this treatment for avascular necrosis.
* Joint replacement. If your diseased bone has already collapsed or other treatment options aren't helping, you may need joint replacement surgery (arthroplasty). Joint replacement surgery replaces your joint with an artificial one. It requires months of recovery, including time spent learning to use your new joint.
Because avascular necrosis is a progressive disease, your doctor may start with conservative treatments. As those measures, such as rest, become less effective, you may move to more aggressive treatments, such as surgery.
You can find more information and support resources at the following organizations:
* National Osteonecrosis Foundation --http://www.nonf.org/
* ON/AVN Support Group Int
Progression of the disease (avascular / asceptic necrosis) could be halted by transplanting nucleated cells from bone marrow into avascular necrosis lesions after core decompression, although more research is needed to establish this technique.
Surgical options include:
* A bone graft
* A bone graft along with its blood supply (vascularized bone graft)
* Cutting the bone and changing its alignment to relieve stress on the bone or joint (osteotomy)
* Total joint replacement, in very advanced cases
* Removing part of the inside of the bone (core decompression) to relieve pressure and allow new blood vessels to form
Surgery
Surgical procedures for people with avascular necrosis include:
* Core decompression. In this operation, your surgeon removes part of the inner layer of your bone. This relieves pressure within your bone, reducing your pain. The extra space allows your bone to form new blood vessels and stimulate the production of new bone. Core decompression works best in people with early-stage avascular necrosis.
* Bone reshaping (osteotomy). This procedure reshapes the bone to reduce the amount of stress placed on the area affected by avascular necrosis. Osteotomy is usually used in people with advanced avascular necrosis. Recovery may take up to a year.
* Bone transplant (graft). During this procedure, your surgeon takes healthy bone from another part of your body and implants it into the area affected by avascular necrosis. Sometimes this is done in conjunction with a core decompression. Recovery may take six to 12 months. More studies are needed to establish the effectives of this treatment for avascular necrosis.
* Joint replacement. If your diseased bone has already collapsed or other treatment options aren't helping, you may need joint replacement surgery (arthroplasty). Joint replacement surgery replaces your joint with an artificial one. It requires months of recovery, including time spent learning to use your new joint.
Because avascular necrosis is a progressive disease, your doctor may start with conservative treatments. As those measures, such as rest, become less effective, you may move to more aggressive treatments, such as surgery.
You can find more information and support resources at the following organizations:
* National Osteonecrosis Foundation --http://www.nonf.org/
* ON/AVN Support Group Int
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