Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[The rheumatic forefoot]

F Kerschbaumer1, D von Salomon, F Lehr

  • 1Abteilung für Rheumaorthopädie, Orthopädische Universitätsklinik Frankfurt.

Der Orthopade
|August 1, 1996
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Combined arthroscopic and radiation synovectomy in rheumatoid arthritis.

Der Orthopade·2017
Same author

Arthrodesis of the talocalcaneal joint in adults. Indications, procedure, outcome.

Der Orthopade·2017
Same author

Treatment of the ankle joint in rheumatoid arthritis with surgical and radiation synovectomy.

Der Orthopade·2017
Same author

[Consistency and Reliability of MDK Expertise Examining the Encoding in the German DRG System].

Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))·2015
Same author

Lateral acromion osteotomy: biomechanical comparison of three osteosyntheses methods.

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca·2010
Same author

Improvement of light to biomass conversion by de-regulation of light-harvesting protein translation in Chlamydomonas reinhardtii.

Journal of biotechnology·2009
Same journal

[Fast-track hip and knee joint arthroplasty].

Der Orthopade·2022
Same journal

[Outpatient care through cross-sector prehabilitation and rehabilitation concepts in outpatient hip and knee arthroplasty].

Der Orthopade·2022
Same journal

[Preoperative management in fast-track arthroplasty].

Der Orthopade·2022
Same journal

[Perioperative management in fast-track arthroplasty].

Der Orthopade·2022
Same journal

[Pain therapy and anaesthesiological procedures in fast-track arthroplasty].

Der Orthopade·2022
Same journal

[Discharge readiness versus discharge-Results of the PROMISE study].

Der Orthopade·2022
See all related articles

Rheumatic forefoot arthritis, affecting 85-95% of patients, often involves neglected metatarsophalangeal (MTP) joint synovitis. This study details a surgical technique yielding good results for MTP joint reconstruction.

Area of Science:

  • Orthopedic Surgery
  • Rheumatology
  • Podiatric Medicine

Background:

  • Rheumatic forefoot arthritis has a high prevalence, estimated at 85-95%.
  • Early synovitis of the metatarsophalangeal (MTP) joints is often overlooked, leading to forefoot arch depression, MTP joint dislocation, hallux valgus, and metatarsalgia.
  • Operative interventions for this condition report variable success rates, ranging from 77-91%.

Purpose of the Study:

  • To evaluate the efficacy of a specific surgical technique for reconstructing the forefoot in patients with rheumatic arthritis.
  • To present a preferred operative approach involving resection arthroplasties, capsular and tendon release, and bone reduction.

Main Methods:

  • The described surgical technique includes resection arthroplasties for smaller toes and Swanson spacers for the hallux.

Related Experiment Videos

  • It involves extensive capsular and tendon release via a dorsal approach, reduction of the first metatarsal bone, and extensor hallucis tendon relocation.
  • Postoperative management includes corrective dressing for 6-12 weeks.

    • Main Results:

    • The study achieved 36 good results out of 46 forefoot reconstructions.
    • The mean observation period was 30 months.
    • The preferred surgical technique demonstrated positive outcomes in a significant majority of cases.

    Conclusions:

    • The described surgical approach, combining specific arthroplasties and soft tissue procedures, is effective for treating rheumatic forefoot arthritis.
    • This technique offers a viable option for forefoot reconstruction, addressing MTP joint deformities and associated pain.
    • Early recognition and surgical intervention are crucial for managing the debilitating effects of rheumatic forefoot arthritis.