Skip to main content
SpringerLink
Log in

Rheumatoid Forefoot Reconstruction

  • Reference work entry
  • First Online:
European Surgical Orthopaedics and Traumatology

Abstract

Rheumatoid arthritis (RA) commonly affects the foot and ankle. The forefoot is affected most frequently and the commonly encountered deformities include hallux valgus and dorsal subluxation or dislocation of the lesser metatarsophalangeal (MTP) joints, with or without fixed toe deformity. The combination of severe deformity and poor patient physiology, makes forefoot surgery challenging, yet extremely rewarding for both patient and surgeon. Fortunately, modern disease-modifying drugs have reduced the prevalence of severe forefoot deformities.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 649.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 949.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Myerson MS. Arthroplasty of the second toe. Semin Arthroplasty. 1992;3:31–8.

    CAS  PubMed  Google Scholar 

  2. Stainsby GD. Pathological anatomy and dynamic effect of the displaced plantar plate and the importance of the plantar plate-deep transverse metatarsal ligament tie-bar. Ann R Coll Surg Engl. 1997;79:58–68.

    CAS  PubMed Central  PubMed  Google Scholar 

  3. Pieringer H, Stuby U, Biesenbach G. Patients with rheumatoid arthritis undergoing surgery: how should we deal with antirheumatic treatment? Semin Arthritis Rheum. 2007;36:278–86.

    Article  PubMed  Google Scholar 

  4. Woodburn J, Barker S, Helliwell P. A randomized controlled trial of foot orthoses in rheumatoid arthritis. J Rheumatol. 2002;29:1377–83.

    PubMed  Google Scholar 

  5. Watson MS. Long-term follow-up of forefoot arthroplasty. J Bone Joint Surg. 1974;56-B:527–33.

    Google Scholar 

  6. Coughlin MJ. Rheumatoid forefoot reconstruction. A long-term follow-up study. J Bone Joint Surg. 2000;82-A:322–41.

    Google Scholar 

  7. Fuhrmann RA, Anders JO. The long-term results of resection arthroplasties of the first metatarsophalangeal joint in rheumatoid arthritis. Int Orthop. 2001;25:312–6.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  8. McGarvey SR, Johnson KA. Keller arthroplasty in combination with resection arthroplasty of the lesser metatarsophalangeal joints in rheumatoid arthritis. Foot Ankle. 1988;9:75–80.

    Article  CAS  PubMed  Google Scholar 

  9. Molloy AP, Myerson MS. Surgery for the lesser toes in rheumatoid arthritis: metatarsal head resection. Foot Ankle Clin North Am. 2007;12:417–33.

    Article  Google Scholar 

  10. Patsalis T, Georgousis H, Gopfert S. Long-term results of forefoot arthroplasty in patients with rheumatoid arthritis. Orthopedics. 1996;19:439–47.

    CAS  PubMed  Google Scholar 

  11. Trieb K. Management of the foot in rheumatoid arthritis. J Bone Joint Surg. 2005;87-B:1171–7.

    Article  Google Scholar 

  12. van der Heijden KW, Rasker JJ, Jacobs JW, Dey K. Kates forefoot arthroplasty in rheumatoid arthritis. A 5-year follow-up study. J Rheumatol. 1992;19:1545–50.

    PubMed  Google Scholar 

  13. Henry APJ, Waugh W. The use of footprints in assessing the results of operations for hallux valgus. A comparison of Keller’s operation and arthrodesis. J Bone Joint Surg. 1975;57-B:478–81.

    Google Scholar 

  14. Beauchamp CG, Kirby T, Rudge SR, Worthington BS, Nelson J. Fusion of the first metatarsophalangeal joint in forefoot arthroplasty. Clin Orthop Relat Res. 1984;190:249–53.

    PubMed  Google Scholar 

  15. Mann RA, Thompson FM. Arthrodesis of the first metatarsophalangeal joint for hallux valgus in rheumatoid arthritis. J Bone Joint Surg. 1984;66-A: 687–92.

    Google Scholar 

  16. Mulcahy D, Daniels TR, Lau JT, Boyle E, Bogoch E. Rheumatoid forefoot deformity: a comparison of 2 functional methods of reconstruction. J Rheumatol. 2003;30:1440–50.

    PubMed  Google Scholar 

  17. Granberry WM, Noble PC, Bishop JO, Tullos HS. Use of a hinged silicone prosthesis for replacement of the first metatarsophalangeal joint. J Bone Joint Surg. 1991;73-A:1453–9.

    Google Scholar 

  18. Rahmann H, Fagg PS. Silicone granulomatous reactions after first metatarsophalangeal joint hemiarthroplasty. J Bone Joint Surg. 1993;75-B:637–9.

    Google Scholar 

  19. Cracchiolo A, Weltmer J, Lian G. Arthroplasty of the first metatarsophalangeal joint with double-tem silicone implant. J Bone Joint Surg. 1992;74-A:552–6.

    Google Scholar 

  20. Hanyu T, Yamazaki H, Ishikawa H, et al. Flexible hinge toe implant arthroplasty for rheumatoid arthritis of the first metatarsophalangeal joint: long-term results. J Orthop Sci. 2001;6:141–7.

    Article  CAS  PubMed  Google Scholar 

  21. Senthil Kumar C, Holt G. Hallux metatarsophalangeal arthroplasty in the rheumatoid forefoot. Foot Ankle Clin North Am. 2007;12:405–16.

    Article  Google Scholar 

  22. Briggs PJ, Stainsby GD. Metatarsal head preservation in forefoot arthroplasty and the correction of severe claw toe deformity. Foot Ankle. 2001;7:93–101.

    Article  Google Scholar 

  23. Fowler AW. A method of forefoot reconstruction. J Bone Joint Surg. 1959;41-B:507–13.

    CAS  Google Scholar 

  24. Kates A, Kessel L, Kay A. Arthroplasty of the forefoot. J Bone Joint Surg. 1967;49-B:552–7.

    Google Scholar 

  25. Barton NJ. Arthroplasty of the forefoot in rheumatoidarthritis. J Bone Joint Surg. 1973;55-B:126–33.

    Google Scholar 

  26. Barouk LS. Weil’s metatarsal osteotomy in the treatment of metatarsalgia (in German). Orthopade. 1996;25:338–43.

    Article  CAS  PubMed  Google Scholar 

  27. Bolland BJRF, Sauve PS, Taylor GR. Rheumatoid forefoot reconstruction: first metatarsophalangeal joint fusion combined with Weil’s metatarsal osteotomies of the lesser rays. J Foot Ankle Surg. 2008;47:80–8.

    Article  PubMed  Google Scholar 

  28. Barouk LS, Barouk P. Joint-preserving surgery in rheumatoid forefoot: preliminary study with more than two year follow-up. Foot Ankle Clin North Am. 2007;12:435–54.

    Article  Google Scholar 

  29. Maestro M, Besse JL, Ragusa M, Berthonnaud E. Forefoot morphotype study and planning method for forefoot osteotomy. Foot Ankle Clin. 2003;8:695–710.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. St George’s Hospital, Tooting, London, UK

    Amit Amin

  2. Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK

    Dishan Singh

Authors
  1. Amit Amin
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dishan Singh
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Dishan Singh .

Editor information

Editors and Affiliations

  1. Royal National Orthopaedic Hospital, Stanmore, United Kingdom

    George Bentley

Rights and permissions

Reprints and permissions

Copyright information

© 2014 EFORT

About this entry

Cite this entry

Amin, A., Singh, D. (2014). Rheumatoid Forefoot Reconstruction. In: Bentley, G. (eds) European Surgical Orthopaedics and Traumatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34746-7_253

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-34746-7_253

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-34745-0

  • Online ISBN: 978-3-642-34746-7

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics

Search

Navigation