Guzman Javier Z, Vulcano Ettore
Mount Sinai West, NYC, 425 West 59th Street 5th Floor, New York, NY 10019, USA; Leni & Peter W. May Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Mount Sinai West, NYC, 425 West 59th Street 5th Floor, New York, NY 10019, USA; Leni & Peter W. May Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Foot Ankle Clin. 2019 Dec;24(4):689-693. doi: 10.1016/j.fcl.2019.08.005. Epub 2019 Sep 17.
Resection arthroplasty for metatarsalgia is a selective procedure primarily indicated for patients with rheumatoid arthritis. These patients present with significant forefoot deformities, poor bone quality, and loss of soft tissue integrity. Resection of the metatarsal heads and correction of lesser toe deformities improve pain and decrease transfer metatarsalgia. Patients with concurrent hallux valgus may benefit from a lapidus procedure or hallux metatarsophalangeal fusion in an effort to improve outcomes and decrease incidence of recurrent hallux valgus. In rare cases, diabetics with neuropathy may require resection arthroplasty in the setting of forefoot deformities recalcitrant to other modalities.
