2017
DOI: 10.1053/j.jfas.2016.11.008
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Fusion of the First Metatarsophalangeal Joint and Second to Fifth Metatarsal Head Resection for Rheumatoid Forefoot Deformity

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Cited by 9 publications
(10 citation statements)
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“…5,30,31 These complications positively correlate with patient dissatisfaction. 7 In our study, painful callosities on the plantar side of the first MTH were observed in only one foot of the MTH resection group; recurrence of hallux valgus and nonunion were not. In the MTH preservation group, IP joint dislocation occurred in one foot and subsequently underwent IP joint arthrodesis.…”
Section: Discussioncontrasting
confidence: 45%
See 1 more Smart Citation
“…5,30,31 These complications positively correlate with patient dissatisfaction. 7 In our study, painful callosities on the plantar side of the first MTH were observed in only one foot of the MTH resection group; recurrence of hallux valgus and nonunion were not. In the MTH preservation group, IP joint dislocation occurred in one foot and subsequently underwent IP joint arthrodesis.…”
Section: Discussioncontrasting
confidence: 45%
“…3 Resection arthroplasty of the metatarsal head (MTH) combined with arthrodesis of the first MTP joint is a well-established procedure used to treat severe forefoot deformities in patients with long-standing RA. [4][5][6][7] However, it may involve sacrifice of a normal MTH and has been associated with higher rates of recurrent callosities and subluxations or dislocations of the MTP joint of the lesser toe than joint-preserving procedures. 8,9 We have been performing shortening oblique osteotomy (SOO) of the lesser metatarsals combined with arthrodesis of the first MTP joint for severe hallux valgus and/or destruction of the first MTP joint with mild or moderate destruction of the lesser MTP joints.…”
Section: Introductionmentioning
confidence: 99%
“…This combination of techniques was most commonly used in the studies considered and achieved the best results, both in relieving pain and in enhancing functionality (p < 0.001) [19,20,40,43]. However, there is no evidence that this is more effective than arthroplasty in all the metatarsal heads (or the fist metatarsal), because according to the papers included in our analysis, the only related research conducted were case studies [18,45,46], which are considered to present low methodological quality. Moreover, these papers do not address the specific object of our investigation.…”
Section: Discussionmentioning
confidence: 98%
“…If these approaches do not satisfactorily resolve the pain, deformity, or loss of function, or facilitate the use of conventional shoes, various types of surgical treatment may be proposed [15], regardless of the stage of the disease, to be used initially as prophylaxis, and at more advanced levels to correct deformities, recover foot function, and relieve pain [12,16]. Surgical techniques are most commonly applied to the forefoot [17], but the hindfoot and ankle are also treated [18]. The surgical procedures for the forefoot are arthrodesis of the first MTP joint and/or arthroplasties of the MTP joints [19,20] and surgical treatments to the ankle are total arthroplasty and prosthesis [21,22].…”
Section: Introductionmentioning
confidence: 99%
“…Diese Feststellung wird durch den in der Literatur einheitlich dokumentierten und signifikanten Zugewinn verschiedener Scoring-Systeme bestätigt (▶Abb. 4) [17].…”
Section: Der Rheumatische Spreizfußunclassified