Abstract
The metatarsophalangeal (MTP) joints are often and predominantly affected in rheumatoid arthritis. The aim of the current study was to describe surgical techniques of shortening oblique osteotomy for lesser metatarsal bone with screw fixation at the osteotomy site, and to investigate the short-term clinical outcomes of our procedure. Twenty-seven feet (78 toes) of 24 RA patients underwent the shortening oblique osteotomy for the correction of deformity at the lesser MTP joints. The average Japanese Society of Surgery of the Foot (JSSF) standard rating system for the RA foot and ankle scale improved significantly from 59.6 points preoperatively to 88.3 points postoperatively (p<0.001). Twenty-four feet (89 ) were free from metatarsalgia and symptomatic callosities at the lesser MTP joint after surgery. Our present findings showed satisfactory early clinical outcomes of the shortening oblique osteotomy of the metatarsal bone with screw fixation for RA forefoot.
| Original language | English |
|---|---|
| Pages (from-to) | 477-483 |
| Number of pages | 7 |
| Journal | Acta Medica Okayama |
| Volume | 70 |
| Issue number | 6 |
| Publication status | Published - 2016 |
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Keywords
- Forefoot
- Rheumatoid arthritis
- Screw fixation
- Shortening oblique osteotomy
ASJC Scopus subject areas
- Medicine(all)
- Biochemistry, Genetics and Molecular Biology(all)
Cite this
Shortening oblique osteotomy with screw fixation for correction of the lesser metatarsophalangeal joints of rheumatoid forefoot. / Nishida, Keiichiro; Machida, Takahiro; Horita, Masahiro; Hashizume, Kenzo; Nakahara, Ryuuichi; Nasu, Yoshihisa; Ohashi, Hideki; Saiga, Kenta; Ozaki, Toshihumi.
In: Acta Medica Okayama, Vol. 70, No. 6, 2016, p. 477-483.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Shortening oblique osteotomy with screw fixation for correction of the lesser metatarsophalangeal joints of rheumatoid forefoot
AU - Nishida, Keiichiro
AU - Machida, Takahiro
AU - Horita, Masahiro
AU - Hashizume, Kenzo
AU - Nakahara, Ryuuichi
AU - Nasu, Yoshihisa
AU - Ohashi, Hideki
AU - Saiga, Kenta
AU - Ozaki, Toshihumi
PY - 2016
Y1 - 2016
N2 - The metatarsophalangeal (MTP) joints are often and predominantly affected in rheumatoid arthritis. The aim of the current study was to describe surgical techniques of shortening oblique osteotomy for lesser metatarsal bone with screw fixation at the osteotomy site, and to investigate the short-term clinical outcomes of our procedure. Twenty-seven feet (78 toes) of 24 RA patients underwent the shortening oblique osteotomy for the correction of deformity at the lesser MTP joints. The average Japanese Society of Surgery of the Foot (JSSF) standard rating system for the RA foot and ankle scale improved significantly from 59.6 points preoperatively to 88.3 points postoperatively (p<0.001). Twenty-four feet (89 ) were free from metatarsalgia and symptomatic callosities at the lesser MTP joint after surgery. Our present findings showed satisfactory early clinical outcomes of the shortening oblique osteotomy of the metatarsal bone with screw fixation for RA forefoot.
AB - The metatarsophalangeal (MTP) joints are often and predominantly affected in rheumatoid arthritis. The aim of the current study was to describe surgical techniques of shortening oblique osteotomy for lesser metatarsal bone with screw fixation at the osteotomy site, and to investigate the short-term clinical outcomes of our procedure. Twenty-seven feet (78 toes) of 24 RA patients underwent the shortening oblique osteotomy for the correction of deformity at the lesser MTP joints. The average Japanese Society of Surgery of the Foot (JSSF) standard rating system for the RA foot and ankle scale improved significantly from 59.6 points preoperatively to 88.3 points postoperatively (p<0.001). Twenty-four feet (89 ) were free from metatarsalgia and symptomatic callosities at the lesser MTP joint after surgery. Our present findings showed satisfactory early clinical outcomes of the shortening oblique osteotomy of the metatarsal bone with screw fixation for RA forefoot.
KW - Forefoot
KW - Rheumatoid arthritis
KW - Screw fixation
KW - Shortening oblique osteotomy
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M3 - Article
VL - 70
SP - 477
EP - 483
JO - Acta Medica Okayama
JF - Acta Medica Okayama
SN - 0386-300X
IS - 6
ER -