AI Article Synopsis
- Rheumatoid arthritis commonly causes foot deformities like hallux valgus and clawed lesser toes, which can be treated surgically for relief and correction.
- A study involving 12 patients aged 55-71 assessed the effectiveness of a new surgical technique combining 1st metatarsophalangeal joint fusions with Stainsby procedures.
- Results showed significant improvement in patient outcomes, with mean AOFAS scores rising from 46 to 72 and notable reductions in hallux valgus angles after surgery.
Article Abstract
Background: Rheumatoid arthritis is a chronic inflammatory disease involving connective tissue and joints. The most common rheumatoid forefoot deformities are hallux valgus and clawed lesser toes. There are a number of surgical procedures that have been described offering symptomatic relief and anatomical correction.
Objectives: This prospective case series aims to assess outcome in patients with rheumatoid forefoot deformities who underwent a novel combination of 1st metatarsophalangeal joint fusions and Stainsby procedures.
Methods: Thirteen procedures were performed on 12 consecutive patients with an age range of 55-71 (mean=62) between 02/2009 and 05/2011. AOFAS scoring was performed preoperatively and again six and 12 months post-surgery. Hallux valgus (HVA) and intermetatarsal angles (IMA) were measured preoperatively and six weeks and six months postoperatively.
Results: The mean AOFAS score increased from 46 to 72, 12 months postoperatively. The mean HVA reduced from 48° preoperatively to 14° six months postoperatively. The IMA decreased from 15° to 10° six months postoperatively.
Conclusions: The novel approach of 1st metatarsophalangeal fusion combined with lesser toe metatarsal head sparing is an effective procedure that reduces forefoot deformity and pain.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.foot.2014.02.006 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Impacts of Methylenetetrahydrofolate Reductase Genotypes on Hallux Valgus.
In Vivo
December 2024
Graduate Institute of Biomedical Sciences, China Medical University, Taichung, Taiwan, R.O.C.;
Background/aim: Hallux valgus (HV) is the most common deformity of the forefoot. Although HV has been strongly associated with a family history, its genetic underpinnings remain unclear. Few studies have examined the relationship between folic acid metabolism, which is critical in normal bone development, and HV.
View Article and Find Full Text PDFDecreased foot-related quality of life is a risk factor for falls in patients with rheumatoid arthritis.
Mod Rheumatol
December 2024
Department of Orthopaedic Surgery, Yamaguchi Red Cross Hospital, Yamaguchi, Japan.
Objectives: To assess the need to treat forefoot lesions in rheumatoid arthritis (RA) patients who are unaware of their foot problems.
Methods: From April to September 2022, 116 RA patients at our clinic were administered the Self-Administered Foot Evaluation Questionnaire (SAFE-Q), a self-assessment questionnaire on foot-related issues, and underwent forefoot radiography. We also assessed the occurrence of falls one year later.
Rheumatoid Deformities of the Lesser Toes.
Foot Ankle Clin
December 2024
Clinica COTE, Brasília, Brazil.
Rheumatoid arthritis is a chronic heterogeneous autoimmune disease characterized by painful joint inflammation and causes destructive bone erosions. Most common deformities in the rheumatoid forefoot are hallux valgus and claw toes. Radiographs are helpful to show the deformity and the associated pathologies.
View Article and Find Full Text PDFForefoot inflammation in recent-onset ACPA-positive and ACPA-negative RA: clinically similar, but different in underlying inflamed tissues.
RMD Open
October 2024
Department of Rheumatology, Leiden University Medical Center, Leiden, The Netherlands.
Article Synopsis
- * ACPA-negative patients generally have more swollen joints, but the prevalence of swollen metatarsophalangeal (MTP) joints and walking disabilities is similar across both groups, while ACPA-positive patients show greater prevalence of inflamed tissues.
- * Different types of inflammation are associated with specific symptoms: in ACPA-positive patients, intermetatarsal bursitis relates to MTP joint issues, while in ACPA-negative patients, synovitis is more
Foot Anthropometry Measures in Relation to Treatment in Patients with Rheumatoid Arthritis: A Longitudinal Study.
Healthcare (Basel)
August 2024
Department of Nursing and Podiatry, Faculty of Health Sciences, University of Malaga, Arquitecto Francisco Peñalosa 3, Ampliación de Campus de Teatinos, 29071 Malaga, Spain.
Approximately 90% of patients with arthritis exhibit forefoot deformities, including deformities within the metatarsophalangeal and proximal interphalangeal joints. Current pharmacological treatment with Disease Modifying Antirheumatic Drugs (DMARDs) consists of two groups: synthetic drugs (sDMARDs) and biological drugs (bDMARDs). The objective of our study was to investigate foot anthropometry changes in RA patients based on the administered treatment over a five-year period Method: A longitudinal analysis was conducted with RA patients who were grouped based on their pharmacological treatment.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!