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

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:...

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Autores principales:	Yuya Takakubo, Yoshihiro Wanezaki, Hiroharu Oki, Yasushi Naganuma, Junichiro Shibuya, Ryusuke Honma, Akemi Suzuki, Hiroshi Satake, Michiaki Takagi
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	foot joint-preserving surgery rheumatoid arthritis Medicine R
Acceso en línea:	https://doaj.org/article/15de9c955661437aaf53145f218e6093
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spelling	oai:doaj.org-article:15de9c955661437aaf53145f218e60932021-11-11T16:24:26ZForefoot Deformities in Patients with Rheumatoid Arthritis: Mid- to Long-Term Result of Joint-Preserving Surgery in Comparison with Resection Arthroplasty10.3390/ijerph1821112571660-46011661-7827https://doaj.org/article/15de9c955661437aaf53145f218e60932021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11257https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Background: 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; <i>p</i> < 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.Yuya TakakuboYoshihiro WanezakiHiroharu OkiYasushi NaganumaJunichiro ShibuyaRyusuke HonmaAkemi SuzukiHiroshi SatakeMichiaki TakagiMDPI AGarticlefootjoint-preserving surgeryrheumatoid arthritisMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11257, p 11257 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	foot joint-preserving surgery rheumatoid arthritis Medicine R
spellingShingle	foot joint-preserving surgery rheumatoid arthritis Medicine R Yuya Takakubo Yoshihiro Wanezaki Hiroharu Oki Yasushi Naganuma Junichiro Shibuya Ryusuke Honma Akemi Suzuki Hiroshi Satake Michiaki Takagi Forefoot Deformities in Patients with Rheumatoid Arthritis: Mid- to Long-Term Result of Joint-Preserving Surgery in Comparison with Resection Arthroplasty
description	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; <i>p</i> < 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.
format	article
author	Yuya Takakubo Yoshihiro Wanezaki Hiroharu Oki Yasushi Naganuma Junichiro Shibuya Ryusuke Honma Akemi Suzuki Hiroshi Satake Michiaki Takagi
author_facet	Yuya Takakubo Yoshihiro Wanezaki Hiroharu Oki Yasushi Naganuma Junichiro Shibuya Ryusuke Honma Akemi Suzuki Hiroshi Satake Michiaki Takagi
author_sort	Yuya Takakubo
title	Forefoot Deformities in Patients with Rheumatoid Arthritis: Mid- to Long-Term Result of Joint-Preserving Surgery in Comparison with Resection Arthroplasty
title_short	Forefoot Deformities in Patients with Rheumatoid Arthritis: Mid- to Long-Term Result of Joint-Preserving Surgery in Comparison with Resection Arthroplasty
title_full	Forefoot Deformities in Patients with Rheumatoid Arthritis: Mid- to Long-Term Result of Joint-Preserving Surgery in Comparison with Resection Arthroplasty
title_fullStr	Forefoot Deformities in Patients with Rheumatoid Arthritis: Mid- to Long-Term Result of Joint-Preserving Surgery in Comparison with Resection Arthroplasty
title_full_unstemmed	Forefoot Deformities in Patients with Rheumatoid Arthritis: Mid- to Long-Term Result of Joint-Preserving Surgery in Comparison with Resection Arthroplasty
title_sort	forefoot deformities in patients with rheumatoid arthritis: mid- to long-term result of joint-preserving surgery in comparison with resection arthroplasty
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/15de9c955661437aaf53145f218e6093
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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

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