Biomaterial Database

Surgical correction of rheumatoid forefoot deformities. 1995

R A Mann, and M E Schakel

Samuel Merritt Hospital, Oakland, California, USA.

Surgical correction of severe rheumatoid forefoot deformities with resection arthroplasties of the lesser metatarsal phalangeal joints and arthrodesis of the first metatarsal phalangeal joint resulted in a significant long-term improvement with respect to shoe wear, pain, and the ability to stand and walk in 95% of the patients. Ninety percent had a good or excellent functional result. There was minimal recurrence of deformity. Modifications of the procedure with maintenance of the proximal phalangeal bases and K-wire fixation of the metatarsal phalangeal arthroplasty and interphalangeal joints resulted in an improved cosmetic result and simplified postoperative management with an equal functional result and no increase in recurrence of deformity or complications.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D008683	Metatarsophalangeal Joint	The articulation between a metatarsal bone (METATARSAL BONES) and a phalanx.	Joint, Metatarsophalangeal,Joints, Metatarsophalangeal,Metatarsophalangeal Joints
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D011183	Postoperative Complications	Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.	Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D011859	Radiography	Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film).	Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D001864	Bone Wires	Steel wires, often threaded through the skin, soft tissues, and bone, used to fix broken bones. Kirschner wires or apparatus also includes the application of traction to the healing bones through the wires.	Kirschner Wire,Kirschner Wires,Bone Wire,Wire, Bone,Wire, Kirschner,Wires, Bone,Wires, Kirschner
D005260	Female		Females
D005531	Foot Deformities, Acquired	Distortion or disfigurement of the foot, or a part of the foot, acquired through disease or injury after birth.	Acquired Foot Deformities,Acquired Foot Deformity,Deformities, Acquired Foot,Deformity, Acquired Foot,Foot Deformity, Acquired
D005545	Forefoot, Human	The forepart of the foot including the metatarsals and the TOES.	Human Forefoot
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man