Surgical Treatment of Severe Deformities of the Toes in Rheumatoid Arthritis

The article presents the case of successful surgical treatment of a female patient with severe deformities of the toes arising from rheumatoid arthritis. After clinical and radiological examination the patient was diagnosed with a hallux valgus deviation of the first toe, with 64 degrees of valgus d...

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Autores principales:	I. V. Usoltsev, S. N. Leonova
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2019
Materias:	rheumatoid arthritis hallux valgus deviation of the first toe hallux valgus-hammer deformity of the toes of the foot joint-saving operations Science Q
Acceso en línea:	https://doaj.org/article/86289c36ba5e4700b9243bc37da86451
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id	oai:doaj.org-article:86289c36ba5e4700b9243bc37da86451
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spelling	oai:doaj.org-article:86289c36ba5e4700b9243bc37da864512021-11-23T06:14:43ZSurgical Treatment of Severe Deformities of the Toes in Rheumatoid Arthritis2541-94202587-959610.29413/ABS.2019-4.6.19https://doaj.org/article/86289c36ba5e4700b9243bc37da864512019-12-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2207https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The article presents the case of successful surgical treatment of a female patient with severe deformities of the toes arising from rheumatoid arthritis. After clinical and radiological examination the patient was diagnosed with a hallux valgus deviation of the first toe, with 64 degrees of valgus deviation angle, and a valgus-hammered deformity of the II, III, IV toes with a dislocation of the III and IV toes. There was a violation of the stato-dynamic function of the foot, severe pain. Two techniques of joint-preserving surgical treatment were selected. Correction of deformation of the first toe was carried out according to the author's technology, to correct the deformation of other toes, the Helal technique was used in the author's modification. The result of the treatment was the achievement of correction of the deformation of the first toe and the elimination of the deformation of the second, third, and fourth toes. The patient is satisfied with the outcome, the appearance of the left foot, its function, the ability to walk without pain and wear ordinary shoes.This clinical case of surgical treatment of severe deformities of the toes with rheumatoid arthritis shows the possibility and importance of joint-saving operations to obtain a good cosmetic and functional result. Performing osteotomy of the metatarsal bones in the proposed modifications allows to correct the hallux valgus deviation of the first toe and deformation of the other toes. As a result of using these technologies, it is possible to maintain metatarsophalangeal joints, eliminate dislocations and subluxations, restore joint function, form an arch of the transverse arch of the foot, relieve pain, thereby improving the anatomical and functional state of the entire foot.I. V. UsoltsevS. N. LeonovaScientific Сentre for Family Health and Human Reproduction Problemsarticlerheumatoid arthritishallux valgus deviation of the first toehallux valgus-hammer deformity of the toes of the footjoint-saving operationsScienceQRUActa Biomedica Scientifica, Vol 4, Iss 6, Pp 123-127 (2019)
institution	DOAJ
collection	DOAJ
language	RU
topic	rheumatoid arthritis hallux valgus deviation of the first toe hallux valgus-hammer deformity of the toes of the foot joint-saving operations Science Q
spellingShingle	rheumatoid arthritis hallux valgus deviation of the first toe hallux valgus-hammer deformity of the toes of the foot joint-saving operations Science Q I. V. Usoltsev S. N. Leonova Surgical Treatment of Severe Deformities of the Toes in Rheumatoid Arthritis
description	The article presents the case of successful surgical treatment of a female patient with severe deformities of the toes arising from rheumatoid arthritis. After clinical and radiological examination the patient was diagnosed with a hallux valgus deviation of the first toe, with 64 degrees of valgus deviation angle, and a valgus-hammered deformity of the II, III, IV toes with a dislocation of the III and IV toes. There was a violation of the stato-dynamic function of the foot, severe pain. Two techniques of joint-preserving surgical treatment were selected. Correction of deformation of the first toe was carried out according to the author's technology, to correct the deformation of other toes, the Helal technique was used in the author's modification. The result of the treatment was the achievement of correction of the deformation of the first toe and the elimination of the deformation of the second, third, and fourth toes. The patient is satisfied with the outcome, the appearance of the left foot, its function, the ability to walk without pain and wear ordinary shoes.This clinical case of surgical treatment of severe deformities of the toes with rheumatoid arthritis shows the possibility and importance of joint-saving operations to obtain a good cosmetic and functional result. Performing osteotomy of the metatarsal bones in the proposed modifications allows to correct the hallux valgus deviation of the first toe and deformation of the other toes. As a result of using these technologies, it is possible to maintain metatarsophalangeal joints, eliminate dislocations and subluxations, restore joint function, form an arch of the transverse arch of the foot, relieve pain, thereby improving the anatomical and functional state of the entire foot.
format	article
author	I. V. Usoltsev S. N. Leonova
author_facet	I. V. Usoltsev S. N. Leonova
author_sort	I. V. Usoltsev
title	Surgical Treatment of Severe Deformities of the Toes in Rheumatoid Arthritis
title_short	Surgical Treatment of Severe Deformities of the Toes in Rheumatoid Arthritis
title_full	Surgical Treatment of Severe Deformities of the Toes in Rheumatoid Arthritis
title_fullStr	Surgical Treatment of Severe Deformities of the Toes in Rheumatoid Arthritis
title_full_unstemmed	Surgical Treatment of Severe Deformities of the Toes in Rheumatoid Arthritis
title_sort	surgical treatment of severe deformities of the toes in rheumatoid arthritis
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2019
url	https://doaj.org/article/86289c36ba5e4700b9243bc37da86451
work_keys_str_mv	AT ivusoltsev surgicaltreatmentofseveredeformitiesofthetoesinrheumatoidarthritis AT snleonova surgicaltreatmentofseveredeformitiesofthetoesinrheumatoidarthritis
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Surgical Treatment of Severe Deformities of the Toes in Rheumatoid Arthritis

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