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The longterm results of Kates forefoot arthroplasty in 74 feet of 41 patients with rheumatoid arthritis (RA) after a mean followup of 5.2 years was considered to be good by 38 patients and poor by 3 patients. The average walking distance had doubled. The mean hallux valgus angle was reduced from 46 to 27 degrees. Surgical results proved to depend on the quality of the arc of the remaining stumps, and not on the severity or activity of RA. Reoperations were necessary in 16 feet of 10 patients because of too prominent distal metatarsal stumps. Despite the absence of pain, 28 patients were not satisfied with the function of the hallux. This might be improved by performing arthrodesis of the first metatarsophalangeal joint.
K W van der Heijden, and
J J Rasker, and
J W Jacobs, and
K Dey
October 1976,
Archiv fur orthopadische und Unfall-Chirurgie,
K W van der Heijden, and
J J Rasker, and
J W Jacobs, and
K Dey
February 1973,
The Journal of bone and joint surgery. British volume,
K W van der Heijden, and
J J Rasker, and
J W Jacobs, and
K Dey
November 1993,
The Journal of rheumatology,
K W van der Heijden, and
J J Rasker, and
J W Jacobs, and
K Dey
July 1994,
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K W van der Heijden, and
J J Rasker, and
J W Jacobs, and
K Dey
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K W van der Heijden, and
J J Rasker, and
J W Jacobs, and
K Dey
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K W van der Heijden, and
J J Rasker, and
J W Jacobs, and
K Dey
February 1991,
The Journal of rheumatology,
K W van der Heijden, and
J J Rasker, and
J W Jacobs, and
K Dey
July 1997,
Clinical orthopaedics and related research,
K W van der Heijden, and
J J Rasker, and
J W Jacobs, and
K Dey
March 1997,
Arthritis and rheumatism,
K W van der Heijden, and
J J Rasker, and
J W Jacobs, and
K Dey
May 2005,
The Journal of rheumatology,
