Tillmann K
Fortschr Med. 1977 Jul 14;95(26):1699-1705.
The alterations of form and function of the rheumatoid foot are derived from the pathomechanical conditions. The latter are used as a measure for the treatment. Type and frequency of inflammatory alterations are studied by x-ray examination and new aspects are stressed. The deformities of the rheumatoid foot can be explained conclusively through the interaction of functional, gravitational, inflammatory and anatomical influences. The deformities of the toes are induced to a great extent by the deformities of the proximal part of the foot. The possibilities of surgical treatment are discussed in detail and systematically. The results of partially own methods are compared with those of other authors, and conclusions regarding the indication are drawn. The conservative treatment is considered under the aspects of the enlarged surgical possibilities. The need of a close cooperation between the different specialists is emphasized.
