Newman R J, Fitton J M
Acta Orthop Scand. 1983 Jun;54(3):417-21. doi: 10.3109/17453678308996594.
A new method of forefoot reconstruction for rheumatoid arthritis in 79 patients is described in which the metatarsal heads are preserved. The first metatarsophalangeal joint is fused and the bases of the proximal phalanges of only those rays involved with disease excised together with cysts and synovium. Post-operatively traction is used to maintain the length of the operated lateral toes. The results in 71 patients followed for 3-5 years after operation are reported. Excellent pain relief, improved stability and feet of normal length are achieved.
本文描述了一种针对79例类风湿性关节炎患者的前足重建新方法，该方法保留了跖骨头。第一跖趾关节融合，仅切除受累趾骨近端的基底部以及囊肿和滑膜。术后采用牵引以维持手术侧脚趾的长度。报告了71例患者术后3至5年的随访结果。患者疼痛得到显著缓解，稳定性提高，足部长度恢复正常。
