Delagoutte J P
Rev Rhum Mal Osteoartic. 1980 Feb;47(2):135-7.
On the basis of a series of 100 cases of rheumatoid foot, the author details the present surgical indications. As concerns the big toe, he feels that the installation of a Swanson type implant does not bring a marked improvement compared to the simple arthroplastic resection of the Keller type, since it does not seem that the mobility is improved in the long run. As for the lesions af the external toes, the synovectomy stage is almost always bypassed and he suggests the use of Lelievre realignment. He concludes by insisting on the aims of this surgery, which should basically be an improvement of walking, greater comfort in wearing shoes, and a decrease in pain.
基于100例类风湿性足病患者的病例系列，作者详细阐述了当前的手术适应症。关于大脚趾，他认为与凯勒式简单关节成形切除术相比，植入斯旺森型植入物并没有带来显著改善，因为从长远来看，似乎并没有改善活动能力。至于外脚趾的病变，几乎总是跳过滑膜切除术阶段，他建议采用勒利夫尔重新排列术。他在结论中强调了这种手术的目标，即基本上应该是改善行走、增加穿鞋舒适度以及减轻疼痛。
