Solomon M G, Fillinger E B
Botsford General Hospital, Farmington Hills, Michigan, USA.
Clin Podiatr Med Surg. 1999 Apr;16(2):285-301.
The authors discuss the forefoot manifestations of RA and their effects on the biomechanics of the foot. Surgical intervention should be performed to alleviate the patient's pain and to restore and maintain stability of the forefoot. Each patient should be considered individually, and the best procedure for him or her should be selected as opposed to one procedure that is applied to all. Furthermore, each patient should be counseled about the progressive nature of his or her disease. Surgery should not be viewed as a cure. Reconstructive surgery can restore function and relieve pain, which is very rewarding for the surgeon and the patient.
作者讨论了类风湿关节炎（RA）的前足表现及其对足部生物力学的影响。应进行手术干预以减轻患者疼痛，并恢复和维持前足的稳定性。每个患者都应单独考虑，应选择最适合他或她的手术，而不是采用适用于所有人的单一手术。此外，应向每位患者告知其疾病的进展性质。手术不应被视为一种治愈方法。重建手术可以恢复功能并减轻疼痛，这对医生和患者来说都是非常值得的。
