Forefoot Deformities in Patients with Rheumatoid Arthritis: Mid- to Long-Term Result of Joint-Preserving Surgery in Comparison with Resection Arthroplasty
| Autor: | Akemi Suzuki, Hiroharu Oki, Yasushi Naganuma, Yuya Takakubo, Yoshihiro Wanezaki, Ryusuke Honma, Michiaki Takagi, Hiroshi Satake, Junichiro Shibuya |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
musculoskeletal diseases rheumatoid arthritis medicine.medical_specialty Joint preserving surgery Health Toxicology and Mutagenesis medicine.medical_treatment Osteotomy Article Arthroplasty Arthritis Rheumatoid Resection arthroplasty medicine Humans In patient Hallux Valgus Retrospective Studies joint-preserving surgery biology business.industry Forefoot Public Health Environmental and Occupational Health musculoskeletal system medicine.disease biology.organism_classification Hand Surgery body regions Valgus medicine.anatomical_structure Rheumatoid arthritis foot Medicine Female Ankle business human activities |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 18, Iss 11257, p 11257 (2021) International Journal of Environmental Research and Public Health Volume 18 Issue 21 |
| ISSN: | 1661-7827 1660-4601 |
| Popis: | Background: Joint-preserving surgery for the forefoot has been increasingly performed for rheumatoid arthritis (RA). We compared joint-preserving surgeries with resection arthroplasty for RA in the forefoot. Methods: Forefoot surgeries were performed on 62 toes in 42 patients with RA (men: 2 women: 40) between 2002 and 2018. Three groups were compared: PP—31 toes treated with joint-preserving surgery involving the modified Mann method for the big toe and offset osteotomy for lesser toes, PR—15 toes treated with joint-preserving surgery for the big toe and resection arthroplasty for lesser toes, and RR—16 toes treated with resection arthroplasty for all the toes. Results: The PP group had significantly higher mean scores on a scale for RA in the foot and ankle at the latest follow-up than the RR group (86 vs. 75 points p < 0.05). Hallux valgus (angle > 20°) of the big toe at the latest follow-up recurred in 10 (32%), 9 (60%), and 16 (100%) patients in the PP, PR, and RR groups, respectively. A revision surgery was performed in one patient each in the PP and PR groups. Conclusions: Joint-preserving surgery is superior to resection arthroplasty in preventing function loss and the recurrence of hallux valgus. |
| Databáze: | OpenAIRE |
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