Evaluation and surgical management of the arthritic midfoot secondary to rheumatic disease.

RA is a common disorder that has significant destructive effects on the midfoot portion of the foot. When these degenerative joint changes occur, any motion at the involved joints causes severe pain and disability, and limits the patient in his or her attempt to perform daily activities. These changes have a significant social and economic impact, and cause unwanted lifestyle changes. Arthrodesis, when used judiciously, can offer pain relief and a restoration of normal activity for the patient with RA.