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Joint-Preserving Surgery for Forefoot Deformities in Patients with Rheumatoid Arthritis: A Literature Review

Author

Listed:
  • Koichiro Yano

    (Department of Orthopedic Surgery, Tokyo Women’s Medical University, Tokyo 162-8666, Japan
    Institute of Rheumatology, Tokyo Women’s Medical University Hospital, Tokyo 162-8666, Japan)

  • Katsunori Ikari

    (Department of Orthopedic Surgery, Tokyo Women’s Medical University, Tokyo 162-8666, Japan
    Institute of Rheumatology, Tokyo Women’s Medical University Hospital, Tokyo 162-8666, Japan
    Division of Multidisciplinary Management of Rheumatic Diseases, Tokyo Women’s Medical University, Tokyo 162-8666, Japan)

  • Haruki Tobimatsu

    (Department of Orthopedic Surgery, Tokyo Women’s Medical University, Tokyo 162-8666, Japan
    Institute of Rheumatology, Tokyo Women’s Medical University Hospital, Tokyo 162-8666, Japan)

  • Ayako Tominaga

    (Department of Orthopedic Surgery, Tokyo Women’s Medical University, Tokyo 162-8666, Japan)

  • Ken Okazaki

    (Department of Orthopedic Surgery, Tokyo Women’s Medical University, Tokyo 162-8666, Japan)

Abstract

The combination of first metatarsophalangeal joint arthrodesis and resection arthroplasty of all lesser metatarsal heads has been historically considered the golden standard treatment for rheumatoid forefoot deformities. However, as recent improved management of rheumatoid arthritis have reduced progression of joint destruction, the surgical treatments for rheumatoid forefoot deformities have gradually changed from joint-sacrificing surgery, such as arthrodesis and resection arthroplasty, to joint-preserving surgery. The aim of this literature review was to provide current evidence for joint-preserving surgery for rheumatoid forefoot deformities. We focused on the indications, specific outcomes, and postsurgical complications of joint-preserving surgery in this review.

Suggested Citation

  • Koichiro Yano & Katsunori Ikari & Haruki Tobimatsu & Ayako Tominaga & Ken Okazaki, 2021. "Joint-Preserving Surgery for Forefoot Deformities in Patients with Rheumatoid Arthritis: A Literature Review," IJERPH, MDPI, vol. 18(8), pages 1-13, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:8:p:4093-:d:535188
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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.
    2. Takumi Matsumoto & Yuji Maenohara & Song Ho Chang & Kumiko Ono & Yasunori Omata & Jun Hirose & Sakae Tanaka, 2021. "Outcomes of Scarf and Akin Osteotomy with Intra-Articular Stepwise Lateral Soft Tissue Release for Correcting Hallux Valgus Deformity in Rheumatoid Arthritis," IJERPH, MDPI, vol. 18(20), pages 1-13, October.

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