PMID: 9170374May 1, 1997Paper

Arthroplasty for rheumatoid forefoot deformities by a shortening oblique osteotomy

Clinical Orthopaedics and Related Research
T HanyuC T Tohyama

Abstract

Seventy-five feet in 47 patients (46 women, 1 man) who had rheumatoid arthritis were observed for an average of 6 years (range, 4-11 years) after an operation on the forefoot that included a shortening oblique osteotomy of the metatarsal neck of the lateral toes. In addition, patients underwent either flexible hinge toe implant arthroplasty or Mitchell's osteotomy in the first metatarsophalangeal joint. Forty-two feet (56%) looked normal with no valgus or dorsal displacement of the toes. Recurrence of callosities occurred in 9 feet (12%) with moderate pain in 3 feet. Thirty-nine (83%) patients were satisfied with the outcome after surgery. Resection arthroplasty often is recommended for management of forefoot deformities. However, as shown in this series, the improvement in deformities, function, and cosmesis of metatarsophalangeal joint preservation may be better with an osteotomy of the metatarsal neck than with a resection arthroplasty. Because of the development of combined drug therapy, the benefits of synovectomy, osteotomy, and shortening in length should be reconsidered. The authors' studies suggest that the shortening oblique osteotomy should be considered 1 of the surgical reconstruction options for patients with rheu...Continue Reading

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Citations

Aug 22, 2006·Foot & Ankle International·Patrik ReizeJörg Schanbacher
Mar 27, 2009·Foot & Ankle International·Panagiotis D Symeonidis
Mar 2, 2010·The Journal of Bone and Joint Surgery. British Volume·H NikiM Beppu
Feb 4, 2011·Foot & Ankle International·Fabian G KrauseMartin Weber
Jul 31, 2013·International Orthopaedics·Jan Willem K Louwerens, Joost C M Schrier
Oct 10, 2015·Foot & Ankle International·Jun-ichi FukushiYukihide Iwamoto
Jul 19, 2013·International Orthopaedics·Klemens TriebAxel Wanivenhaus
Feb 9, 2018·Foot & Ankle International·Masahiro HoritaToshifumi Ozaki
May 1, 2021·International Journal of Environmental Research and Public Health·Koichiro YanoKen Okazaki
Jul 26, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Masahiro HoritaToshifumi Ozaki
Nov 6, 2001·Foot and Ankle Clinics·V J Sammarco, J Acevedo
Jul 25, 2021·International Journal of Environmental Research and Public Health·Hideki OhashiToshifumi Ozaki
Mar 27, 2012·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·David T LovedayNick P J Geary

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