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

Koichiro Yano, Katsunori Ikari, Haruki Tobimatsu, Ayako Tominaga and Ken Okazaki
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Koichiro Yano: Department of Orthopedic Surgery, Tokyo Women’s Medical University, Tokyo 162-8666, Japan
Katsunori Ikari: Department of Orthopedic Surgery, Tokyo Women’s Medical University, Tokyo 162-8666, Japan
Haruki Tobimatsu: Department of Orthopedic Surgery, Tokyo Women’s Medical University, 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

IJERPH, 2021, vol. 18, issue 8, 1-13

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.

Keywords: foot; joint-preserving surgery; orthopedic surgery; rheumatoid arthritis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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