J Korean Foot Ankle Soc.
2007 Dec;11(2):171-176.
Mid to Long Term Follow-up Results of Reconstruction in Rheumatoid Arthritic Forefoot Deformities
- Affiliations
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- 1Department of Orthopedic Surgery, Eulji Hospital, Eulji University, College of medicine, Seoul, Korea. boram20@hitel.net
- 2Department of Orthopedic Surgery, Busan Veterans Hospital, Busan, Korea.
Abstract
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PURPOSE: We assess the mid to long term follow up results of arthrodesis of the first metatarso-phalangeal (MTP) joint and resection arthroplasty of the lesser toes in rheumatoid arthritic forefoot deformity.
MATERIALS AND METHODS
Between 1998 to 2001 year, 25 cases (18 patients) rheumatoid forefoot deformities were surgically corrected. Follow up period was 83 months (range, 63 to 90 months). The clinical outcome was evaluated using subjective satisfaction and AOFAS score. The radiological measurements were hallux valgus angle, first and second intermetatarsal angle, second metatarso-phalangeal angle (MTP-2nd angle).
RESULTS
Subjective satisfaction was 76%. AOFAS score improved from 37 to 73. The hallux valgus angle improved from preoperative 39 degrees (27~64 degrees) to 14 degrees (4~34) at the last follow up. The intermetatarsal angle were preoperative 13 degrees (6~22 degrees) to 11 degrees (3~13 degrees) at the last follow up, The MTP-2nd angle were preoperative 24 degrees (9~47) to last follow up 15 degrees (2~39 degrees) respectively (p>0.05). Complication was intractable callus 10 cases, Interphalangeal arthritis 5 cases.
CONCLUSION
Mid to long term outcomes rheumatoid forefoot reconstruction by first MTP arthrodesis and resection arthroplasty of lesser toes results a satisfaction and pain relief.
