pirogovestnikВестник Национального медико-хирургического центра им. Н.И. ПироговаBulletin of Pirogov National Medical & Surgical Center2072-82552782-3628Национальный медико-хирургический Центр им. Н.И. Пирогова10.25881/20728255_2025_20_2_149pirogovestnik-333Research ArticleКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCASE REPORTSСПОСОБ ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ ПАЦИЕНТОВ С БОЛЕЗНЬЮ ФРАЙБЕРГА-КЁЛЕРА С ПОМОЩЬЮ УКОРАЧИВАЮЩЕЙ ОСТЕОТОМИИ, МИКРОФРАКТУРИРОВАНИЯ КОСТНО-ХРЯЩЕВОГО ДЕФЕКТА И ЕГО ЗАМЕЩЕНИЕМ КОЛЛАГЕНОВОЙ МЕМБРАНОЙ CHONDRO-SCAFFOLDA METHOD OF SURGICAL TREATMENT OF FREIBERG-KOEHLER DISEASE USING SHORTENING OSTEOTOMY, MICROFRACTURING OF A BONE-CARTILAGINOUS DEFECT AND ITS REPLACEMENT WITH A CHONDRO-SCAFFOLD COLLAGEN MEMBRANEШахулХ. А.ShahulA. B.

Москва

Moscow

АйрапетовГ. А.AirapetovG. A.

Москва

Moscow

МальчевскийВ. А.MalchevskiyV. A.

Тюмень

Tyumen

КарповичН. И.KarpovichN. I.

Москва

Moscow

galen7@yandex.ruСалманхановА. А.SalmankhanovA. A.

Москва

Moscow

ДжоджуаА. В.DzhodzhuaA. V.

Москва

Moscow

МолдамырзаевЧ.MoldamyrzayevC.

Москва

Moscow

ФГАОУ ВО «Российский университет дружбы народов имени Патриса Лумумбы»РоссияPeoples’ Friendship University of Russia named after Patrice LumumbaRussian FederationФГАОУ ВО «Тюменский Государственный медицинский университет»РоссияTyumen State Medical UniversityRussian FederationФГБУ «НМИЦ ТО имени Н.Н. Приорова»РоссияResearch Center for Traumatology and Orthopedics named after N.N. PriorovRussian FederationФГБУ «Национальный медико-хирургический Центр имени Н.И. Пирогова»РоссияPirogov National Medical and Surgical CenterRussian Federation202513052025202149152Copyright © Шахул Х.А., Айрапетов Г.А., Мальчевский В.А., Карпович Н.И., Салманханов А.А., Джоджуа А.В., Молдамырзаев Ч., 20252025Шахул Х.А., Айрапетов Г.А., Мальчевский В.А., Карпович Н.И., Салманханов А.А., Джоджуа А.В., Молдамырзаев Ч.Shahul A.B., Airapetov G.A., Malchevskiy V.A., Karpovich N.I., Salmankhanov A.A., Dzhodzhua A.V., Moldamyrzayev C.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://submit.pirogov-vestnik.ru/jour/article/view/333

Болезнь Фрайберга-Кёлера в большинстве случаев поражает головку второй плюсневой кости. Этиология заболевания в настоящее время изучена не полностью, также отсутствуют единые подходы к тактике лечения. Представлено клиническое наблюдение успешного хирургического лечения пациентов с болезнью Фрайберга-Кёлера с помощью укорачивающей остеотомии плюсневой кости, микрофрактурирования головки и замещения хрящевого дефекта с помощью аллографта из коллагеновой мембраны.

Freiberg-Köhler disease most commonly affects the head of the second metatarsal. The etiology of the disease is currently not fully understood, and there are no uniform approaches to treatment tactics. This article presents a clinical case of successful surgical treatment of Freiberg-Köhler disease using shortening osteotomy of the metatarsal bone, microfracture of the head and replacement of the cartilaginous defect using a collagen membrane allograft.

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The authors declare that there are no conflicts of interest present.