Preview

Military Medicine

Advanced search

Resection of the metatarsophalangeal joints in the surgical treatment of severe rheumatoid forefoot deformities

https://doi.org/10.51922/2074-5044.2022.3.62

Abstract

The aim is to evaluate the efficacy of the developed method of resection of the metatarsophalangeal joints (MPJ) in the surgical treatment of forefoot deformity in patients with rheumatoid arthritis (RA). The results of surgical treatment of the forefoot deformities in 34 patients with RA were studied. The operation was performed on both feet in 25 patients. A total of 59 feet were operated on. Resection of the heads of the II-V metatarsals using the traditional method was performed in group 1 (n = 28 feet) (the comparison group). In group 2 (n = 31 feet), resection of the heads of the II-V metatarsals was performed according to the method developed by us (the study group). The American Orthopedic Foot and Ankle Society Lesser Toe Scale (AOFAS-II-V) and the Visual Analog Scale (VAS) were used for clinical evaluation. Our own developed method of treatment (group 2) allowed to achieve better clinical and functional results according to the AOFAS-II-V scale and a more pronounced decrease in pain syndrome according to the VAS scale compared to group 1 where the traditional method was used.

About the Authors

E. Mikhnovich
УО «Белорусский государственный медицинский университет»
Belarus


S. Aliakseichyk
УЗ «6-ая городская клиническая больница г. Минска»
Belarus


References

1. Metod hirurgicheskogo lechenija metatarzalgii perednego otdela stopy u pacientov s revmatoidnym artritom: utv. M-vom zdravoohranenija Resp. Belarus‘ 11.03.16. – Minsk: Belorusskij gosudarstvennyj medicinskij universitet, 2015. – 6 s. (in Russian).

2. Ustrojstvo dlja rezekcionnoj artroplastiki pljusnefalangovogo sustava stopy: pat. BY 10724 / E. R. Mihnovich, S. S. Aleksejchik – Opub. 30.06.2015. (in Russian).

3. Kitaoka, H. Clinical rating systems for the ankie-hindfoot, midfoot, hallux, and lesser toes / H. B. Kitaoka, I. J. Alexander, R. S. Adelaar [et al.] // Foot Ankle Int. – 1994. – Vol. 15, № 7. – Р. 349–353.

4. Louwerens, J. W. Rheumatoid forefoot deformity: pathophysiology, evaluation and operative treatment options / J. W. Louwerens, J. C. Schrier // International Orthopaedics. – 2013. – Vol. 37, № 9.– P. 1719–1729.

5. Matsumoto, T. Midterm results of resection arthroplasty for forefoot deformities in patients with rheumatoid arthritis and risk factors associated with patient dissatisfaction / T. Matsumoto, Y. Kadono, J. Nishino [et al.] // Foot Ankle Surg. – 2014. – Vol. 53. – Р. 41–46.

6. Reize, L. Long-term results after metatarsal head resection in the treatment of rheumatoid arthritis / L. Reize, C. I. Leichtle, U. G. Leichtle [et al.] // Foot Ankle Int. – 2006. – Vol. 27, № 8.– Р. 586–590.

7. Schrier, J. C. Resection or preservation of the metatarsal heads in rheumatoid forefoot surgery? A randomised clinical trial / J. C. Schrier, N. L. Keijsers, G. A. Matricali [et al.] // Foot Ankle Surg. – 2019. – Vol. 25. – Р. 37–46.

8. Simon, M. J. Forefoot reconstruction following metatarsal head resection arthroplasty with a plantar approach – a 20-year follow-up / M. J. Simon, A. Strahl, H. Mussawy [et al.] // Foot Ankle Int. – 2019. – Vol. 40, № 7. – P. 769–777.


Review

For citations:


Mikhnovich E., Aliakseichyk S. Resection of the metatarsophalangeal joints in the surgical treatment of severe rheumatoid forefoot deformities. Military Medicine. 2022;(3):62-67. (In Russ.) https://doi.org/10.51922/2074-5044.2022.3.62

Views: 20

JATS XML


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2074-5044 (Print)