The long-term results of resection arthroplasties of the first metatarsophalangeal joint in rheumatoid arthritis

We performed a retrospective study in 188 patients (254 feet) with rheumatoid arthritis and compared the late results of Keller's procedure with those of Hueter-Mayo's technique after 7.9 years. More than 60% of the Keller group and 30% of the Hueter-Mayo group were suffering from persiste...

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Bibliographic Details
Published in:International orthopaedics 2001, Vol.25 (5), p.312-316
Main Authors: FUHRMANN, R. A, ANDERS, J. O
Format: Article
Language:English
Subjects:
Adult
Aged
Arthritis, Rheumatoid - complications
Arthritis, Rheumatoid - diagnosis
Arthroplasty - methods
Biological and medical sciences
Female
Follow-Up Studies
Foot Deformities, Acquired - etiology
Foot Deformities, Acquired - surgery
Humans
Male
Medical sciences
Metatarsophalangeal Joint - diagnostic imaging
Metatarsophalangeal Joint - physiopathology
Metatarsophalangeal Joint - surgery
Middle Aged
Original Paper
Orthopedic surgery
Probability
Radiography
Range of Motion, Articular - physiology
Recovery of Function
Retrospective Studies
Statistics, Nonparametric
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Time Factors
Treatment Outcome
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Summary:We performed a retrospective study in 188 patients (254 feet) with rheumatoid arthritis and compared the late results of Keller's procedure with those of Hueter-Mayo's technique after 7.9 years. More than 60% of the Keller group and 30% of the Hueter-Mayo group were suffering from persistent metatarsalgia due to increased forefoot pressure as well as experiencing pain around the great toe. Plantar callosities, recurrent hallux valgus deformity, lack of plantar flexion and weakened push-off were more frequent after Keller's procedure.
ISSN:0341-2695
1432-5195
DOI:10.1007/s002640100264