This Article
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Mann, R. A.
Right arrow Articles by Thompson, F. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mann, R. A.
Right arrow Articles by Thompson, F. M.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?

The Journal of Bone and Joint Surgery, Vol 66, Issue 5 687-692, Copyright © 1984 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Arthrodesis of the first metatarsophalangeal joint for hallux valgus in rheumatoid arthritis

RA Mann and FM Thompson

We reviewed the results of reconstruction of the fore part of the foot in rheumatoid patients by arthrodesis of the first metatarsophalangeal joint. The follow-up averaged 4.1 years (range, 2.0 to 7.25 years). Eighteen feet in eleven women were operated on. Twelve feet underwent total reconstruction of the fore part: arthrodesis of the first metatarsophalangeal joint and excision of all of the lesser metatarsophalangeal joints. Six feet underwent subtotal reconstruction, which included arthrodesis of the first metatarsophalangeal joint. The results were classified as excellent in fourteen feet, good in two, and fair in two. There were no poor results. Metatarsophalangeal bone fusion was achieved in all but one foot (fusion rate, 94 per cent). The one fibrous ankylosis was painless, with satisfactory function. Interphalangeal degenerative joint disease was a radiographic but not a clinical sequela. Arthrodesis of the first metatarsophalangeal joint provided stability that permanently corrected deformity, permitted the patients to wear ordinary shoes, and, in combination with excisional arthroplasty of involved lesser metatarsophalangeal joints, relieved disabling pain in the fore part of the foot.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 J Bone Joint Surg BrHome page
K. Trieb
Management of the foot in rheumatoid arthritis
J Bone Joint Surg Br, September 1, 2005; 87-B(9): 1171 - 1177.
[Full Text] [PDF]

Home page
 JBJSHome page
S. Thomas, A.W.G. Kinninmonth, and C. S. Kumar
Long-Term Results of the Modified Hoffman Procedure in the Rheumatoid Forefoot
J. Bone Joint Surg. Am., April 1, 2005; 87(4): 748 - 752.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
F. Machacek Jr., M. E. Easley, F. Gruber, P. Ritschl, and H.-J. Trnka
Salvage of a Failed Keller Resection Arthroplasty
J. Bone Joint Surg. Am., June 1, 2004; 86(6): 1131 - 1138.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
M. J. Coughlin and P. S. Shurnas
Hallux Rigidus. Grading and Long-Term Results of Operative Treatment
J. Bone Joint Surg. Am., November 1, 2003; 85(11): 2072 - 2088.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
M. J. COUGHLIN
Rheumatoid Forefoot Reconstruction. A Long-Term Follow-up Study
J. Bone Joint Surg. Am., March 1, 2000; 82(3): 322 - 41.
[Abstract] [Full Text]

Home page
 JBJSHome page
M. J. COUGHLIN
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Hallux Valgus*{{dagger}}
J. Bone Joint Surg. Am., June 1, 1996; 78(6): 932 - 66.
[Full Text]