Surgical Treatment of the Rheumatoid Foot

概要

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Three arthrodeses of the ankle, two arthrodeses of the talo-navicular joint and one triple arthrodesis were done in the posterior part of the foot. Bony union and relief of pain wore gained.In the severely-deformed forefoot, resection arthroplasties of the metatarsophalangeal joint were performed in nineteen feet of fourteen patients. Kates-Kessel-Kay's operation were performed in fourteen feet (10 cases), Clayton's procedure, in nine feet (4 cases). Resection arthroplasties, the metatarsals were trimmed to equal length, brought relief of pain and correction of the deformities. In cases of dorsal incision, mild unsteadiness was ofen seen because of the dorsiflexion of metatarsophalangeal joints. Failure of wound healing was observed in some cases of planter approach.Hallux valgus were corrected by Kelley's operation (3 feet, 2 cases) and McBride's (1 foot, 1 case). Satisfactory results were gained and no recurrence of deformity was observed in both methods.
西日本整形・災害外科学会の論文