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Resection Arthroplasty: Current Indications and Tips.

Javier Z Guzman1, Ettore Vulcano1

  • 1Mount Sinai West, NYC, 425 West 59th Street 5th Floor, New York, NY 10019, USA; Leni & Peter W. May Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Foot and Ankle Clinics
|October 27, 2019
PubMed
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Resection arthroplasty effectively treats metatarsalgia in rheumatoid arthritis patients with forefoot deformities. This surgical procedure alleviates pain and corrects deformities, improving patient mobility and quality of life.

Area of Science:

  • Orthopedic Surgery
  • Rheumatology
  • Podiatry

Background:

  • Metatarsalgia, particularly in rheumatoid arthritis (RA) patients, often involves complex forefoot deformities.
  • These RA patients typically exhibit poor bone quality and compromised soft tissue integrity, complicating treatment.
  • Transfer metatarsalgia can arise secondary to other forefoot deformities.

Purpose of the Study:

  • To evaluate the efficacy of resection arthroplasty for managing metatarsalgia in specific patient populations.
  • To assess the impact of surgical correction on pain and functional outcomes.
  • To explore adjunctive procedures for concurrent conditions like hallux valgus.

Main Methods:

  • Resection of metatarsal heads.
  • Correction of associated lesser toe deformities.
Keywords:
MetatarsalgiaPlantar foot painResection arthroplastyRheumatoid arthritis

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  • Consideration of Lapidus procedure or hallux metatarsophalangeal fusion for concurrent hallux valgus.
  • Application in select cases of diabetic neuropathy with recalcitrant forefoot deformities.

    • Main Results:

    • Resection arthroplasty significantly improves pain associated with metatarsalgia.
    • The procedure effectively decreases transfer metatarsalgia.
    • Combined procedures can enhance outcomes for patients with hallux valgus.

    Conclusions:

    • Resection arthroplasty is a valuable selective surgical option for metatarsalgia, especially in rheumatoid arthritis patients.
    • Addressing lesser toe deformities concurrently improves overall patient results.
    • Careful patient selection, including consideration of comorbidities like hallux valgus and diabetic neuropathy, is crucial for optimal outcomes.