1996
DOI: 10.1007/s001320050037
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Der rheumatische Vorfuß

Abstract: The prevalence of rheumatic forefoot arthritis is estimated at 85-95%. Early synovitis of the metatarsophalangeal (MTP) joints is frequently neglected or overlooked. The disease leads to depression of the forefoot arch, dislocation of the MTP joints and hallux valgus with severe metatarsalgia. Operative treatment may give good results in 77-91% of cases. Our preferred treatment consists of resection arthroplasties for the smaller toes and use of Swanson spacer for the big toe, extensive capsular and tendon rel… Show more

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Cited by 11 publications
(5 citation statements)
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“…11 Impairment of wound healing and infection are increased because of reduced immune competence and possible vasculitis as well as the effects of disease modifying antirheumatic drugs, biologic agents, and cortisone. 17,22 Four superficial and four deep wound infections occurred in our patients (23%).…”
Section: Discussionmentioning
confidence: 73%
See 1 more Smart Citation
“…11 Impairment of wound healing and infection are increased because of reduced immune competence and possible vasculitis as well as the effects of disease modifying antirheumatic drugs, biologic agents, and cortisone. 17,22 Four superficial and four deep wound infections occurred in our patients (23%).…”
Section: Discussionmentioning
confidence: 73%
“…10 These joints are affected in nearly all patients later in the disease process. 17 In the rheumatoid forefoot, the typical changes are synovitis and eventual instability and erosion of the first through fifth metatarsophalangeal joints. Dislocation often occurs as well as clawing of the toes.…”
Section: Introductionmentioning
confidence: 99%
“…Surgical options frequently used for a severe symptomatic hallux valgus are resection arthroplasty and arthrodesis of the first metatarsal phalangeal joint. These procedures have been reported with good results [2–7].…”
Section: Introductionmentioning
confidence: 99%
“…Die Entzündungen an den Zehengelenken sind röntgenologisch schon in einem frühen Stadium der Erkrankung nachweisbar [6,10,32]. Nach mehrjährigem Krankheitsverlauf lassen sich bei 80% der Patienten mit chronischer Polyarthritis Gelenkdestruktionen mit Zehenfehlstellungen nachweisen [8,14,30,32] Die rheumatische Vorfußdeformität manifestiert sich im wesentlichen an 4 Gelenken: den beiden Großzehenendgelenken und den Grund-und Mittelgelenken der übrigen Zehen. Das Großzehenendgelenk kann ein-und doppelseitig ohne Grundgelenkbeteiligung erkranken.…”
Section: Introductionunclassified
“…Dabei war 7mal das Großzehenendgelenk und 156mal das -grundgelenk arthrodesiert worden. Bei Krallenzehen wurde stadienabhängig die Resektion nach Hohmann (n = 14), die Grundgliedbasisresektion mit Metatarsalköpfchenentfernung (n =280), die Grundgliedentfernung (n =96) oder die Grundgliedresektion mit Metatarsalköpfchenentfernung (N = 232) durchgeführt. Die Befragung von 77 Patienten und klinische sowie radiologische Nachuntersuchung von 54 Patienten erfolgten nach im Mittel 6 jahren (2-12j.).…”
unclassified