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Forefoot Deformities in Patients with Rheumatoid Arthritis: Mid- to Long-Term Result of Joint-Preserving Surgery in Comparison with Resection Arthroplasty

Author

Listed:
  • Yuya Takakubo

    (Department of Orthopaedic Surgery, Faculty of Medicine, Yamagata University, Yamagata 990-9585, Japan
    Department of Rehabilitation, Faculty of Medicine, Yamagata University, Yamagata 990-9585, Japan)

  • Yoshihiro Wanezaki

    (Department of Orthopaedic Surgery, Faculty of Medicine, Yamagata University, Yamagata 990-9585, Japan)

  • Hiroharu Oki

    (Department of Orthopaedic Surgery, Faculty of Medicine, Yamagata University, Yamagata 990-9585, Japan
    Faculty of Orthopaedic Surgery, Yamagata Saisei Hospital, Yamagata 990-9585, Japan)

  • Yasushi Naganuma

    (Department of Orthopaedic Surgery, Faculty of Medicine, Yamagata University, Yamagata 990-9585, Japan
    Faculty of Orthopaedic Surgery, Yamagata Prefectural Central Hospital, Yamagata 990-2292, Japan)

  • Junichiro Shibuya

    (Department of Orthopaedic Surgery, Faculty of Medicine, Yamagata University, Yamagata 990-9585, Japan
    Department of Orthopaedic Surgery, Izumi Orthopaedic Hospital, Sendai-shi 981-3121, Japan)

  • Ryusuke Honma

    (Department of Orthopaedic Surgery, Faculty of Medicine, Yamagata University, Yamagata 990-9585, Japan
    Department of Rehabilitation, Faculty of Medicine, Yamagata University, Yamagata 990-9585, Japan)

  • Akemi Suzuki

    (Department of Orthopaedic Surgery, Faculty of Medicine, Yamagata University, Yamagata 990-9585, Japan)

  • Hiroshi Satake

    (Department of Orthopaedic Surgery, Faculty of Medicine, Yamagata University, Yamagata 990-9585, Japan)

  • Michiaki Takagi

    (Department of Orthopaedic Surgery, Faculty of Medicine, Yamagata University, Yamagata 990-9585, Japan)

Abstract

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.

Suggested Citation

  • Yuya Takakubo & Yoshihiro Wanezaki & Hiroharu Oki & Yasushi Naganuma & Junichiro Shibuya & Ryusuke Honma & Akemi Suzuki & Hiroshi Satake & Michiaki Takagi, 2021. "Forefoot Deformities in Patients with Rheumatoid Arthritis: Mid- to Long-Term Result of Joint-Preserving Surgery in Comparison with Resection Arthroplasty," IJERPH, MDPI, vol. 18(21), pages 1-10, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11257-:d:665435
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    Cited by:

    1. Koichiro Yano & Katsunori Ikari, 2022. "Outcomes of Joint-Preserving Surgery for Rheumatoid Forefoot Deformity: An Editorial," IJERPH, MDPI, vol. 19(4), pages 1-3, February.

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