دورية أكاديمية
Rheumatoid Forefoot Reconstruction in Nonrheumatic Patients: Lesser Metatarsal Head Resection versus Osteotomy
| العنوان: | Rheumatoid Forefoot Reconstruction in Nonrheumatic Patients: Lesser Metatarsal Head Resection versus Osteotomy |
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| المؤلفون: | Giunta, Jean-Charles, Mouton, Tanguy, Fessy, Michel-Henri, Besse, Jean-Luc |
| المساهمون: | Centre Hospitalier Lyon Sud CHU - HCL (CHLS), Hospices Civils de Lyon (HCL), Laboratoire de Biomécanique et Mécanique des Chocs (LBMC UMR T9406 ), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Université Gustave Eiffel |
| المصدر: | ISSN: 1067-2516. |
| بيانات النشر: | HAL CCSD Elsevier |
| سنة النشر: | 2021 |
| المجموعة: | HAL Lyon 1 (University Claude Bernard Lyon 1) |
| مصطلحات موضوعية: | HALLUX VALGUS, HUMANS, LESSER METATARSAL HEAD OSTEOTOMY, METATARSAL BONES, METATARSAL HEAD RESECTION, METATARSOPHALANGEAL JOINT, NON-RHEUMATIC PATIENT, OSTEOTOMY, RETROSPECTIVE STUDIES, RHEUMATOID FOREFOOT RECONSTRUCTION, SEVERE HALLUX VALGUS, TREATMENT OUTCOME, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology |
| الوصف: | In the literature, first metatarsophalangeal joint arthrodesis with lesser metatarsal head resection seems to be a reliable procedure in rheumatoid foot deformity. Maybe this procedure could be proposed in nonrheumatoid severe forefoot deformity (hallux valgus angle >40° and lesser metatarsophalangeal dislocation). The aim of this study was to compare radiological and clinical outcomes between lesser metatarsal head resection and lesser metatarsal head osteotomy in nonrheumatoid patients. Thirty-nine patients (56 feet) suffering from well-defined nonrheumatoid severe forefoot deformity were retrospectively enrolled in our institution between 2009 and 2015. Metatarsal head resection and metatarsal head osteotomy represented 13 patients (20 feet) and 26 patients (36 feet), respectively. In this observational study, a rheumatoid population (21 patients) was included as the control. The clinical outcome measures consisted of American Orthopaedic Foot and Ankle Society score, Foot and Ankle Ability Measurement, and Short Form-36. The radiological outcomes were: intermetatarsal angle, hallux valgus angle, and metatarsophalangeal alignment. Mean follow-up was 24 months. Satisfaction rate was, respectively, 92% for resection, 91% for osteotomy procedure, and 80% for surgery in rheumatoid patients. Short Form-36 global score was, respectively, 80.7 (52.5-96.4), 76 (57.7-93), and 68.3 (22.6-86). No functional outcome difference was found between resection and osteotomy procedures, except that the metatarsal head resection group had poorer results in sports activities than the osteotomy group. Complications were similar between osteotomy and resection (p > .05). The radiological outcomes were improved significantly from preoperative to postoperative. First metatarsophalangeal joint arthrodesis with lesser metatarsal head resection in nonrheumatoid severe forefoot deformity might be a good therapeutic option. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | hal-03562579; https://hal.science/hal-03562579Test; https://hal.science/hal-03562579/documentTest; https://hal.science/hal-03562579/file/S1067251620300715.pdfTest; PII: S1067-2516(20)30071-5 |
| DOI: | 10.1053/j.jfas.2020.03.004 |
| الإتاحة: | https://doi.org/10.1053/j.jfas.2020.03.004Test https://hal.science/hal-03562579Test https://hal.science/hal-03562579/documentTest https://hal.science/hal-03562579/file/S1067251620300715.pdfTest |
| حقوق: | http://creativecommons.org/licenses/by-ncTest/ ; info:eu-repo/semantics/OpenAccess |
| رقم الانضمام: | edsbas.7659B249 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1053/j.jfas.2020.03.004 |
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