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Related Experiment Videos

Forefoot amputation in rheumatoid arthritis.

J A Andersen1, K E Klåborg

  • 1Department of Orthopedics, University Hospital, Odense, Denmark.

Acta Orthopaedica Scandinavica
|August 1, 1987
PubMed
Summary

Transmetatarsal amputation effectively relieved pain and improved function for patients with severe rheumatoid arthritis. This procedure allowed patients to walk without pain and wear normal shoes, significantly enhancing their quality of life.

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Area of Science:

  • Orthopedics
  • Rheumatology
  • Podiatry

Background:

  • Rheumatoid arthritis (RA) frequently causes severe forefoot deformity and pain.
  • Conservative treatments often fail to alleviate debilitating symptoms in advanced RA.
  • Surgical intervention may be necessary for end-stage foot deformities in RA patients.

Purpose of the Study:

  • To evaluate the long-term outcomes of transmetatarsal amputation in patients with rheumatoid arthritis.
  • To assess pain relief, functional improvement, and ability to wear normal footwear after the procedure.

Main Methods:

  • A retrospective case series involving five patients with long-standing rheumatoid arthritis.
  • Patients underwent transmetatarsal amputation due to severe pain, forefoot deformity, and failed conservative management.
  • Follow-up included assessment of pain, footwear, and gait.

Main Results:

  • Median follow-up was 7 years (range 1-12 years).
  • Four out of five patients reported complete pain relief.
  • All patients could wear regular shoes, and gait was significantly improved without imbalance.

Conclusions:

  • Transmetatarsal amputation is a viable surgical option for select rheumatoid arthritis patients with end-stage forefoot disease.
  • The procedure offers significant long-term pain relief and functional restoration.
  • Improved gait and ability to wear normal shoes enhance patient quality of life.

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