Mann R A, Schakel M E
Samuel Merritt Hospital, Oakland, California, USA.
Foot Ankle Int. 1995 Jan;16(1):1-6. doi: 10.1177/107110079501600101.
Surgical correction of severe rheumatoid forefoot deformities with resection arthroplasties of the lesser metatarsal phalangeal joints and arthrodesis of the first metatarsal phalangeal joint resulted in a significant long-term improvement with respect to shoe wear, pain, and the ability to stand and walk in 95% of the patients. Ninety percent had a good or excellent functional result. There was minimal recurrence of deformity. Modifications of the procedure with maintenance of the proximal phalangeal bases and K-wire fixation of the metatarsal phalangeal arthroplasty and interphalangeal joints resulted in an improved cosmetic result and simplified postoperative management with an equal functional result and no increase in recurrence of deformity or complications.
采用小趾跖趾关节切除关节成形术及第一跖趾关节融合术对严重类风湿性前足畸形进行手术矫正，结果显示，95%的患者在鞋类穿着、疼痛以及站立和行走能力方面均有显著的长期改善。90%的患者获得了良好或极佳的功能结果。畸形复发极少。通过保留近节趾骨基部以及对跖趾关节成形术和趾间关节采用克氏针固定来改良手术，改善了外观效果，简化了术后管理，功能结果相同，且畸形复发或并发症均未增加。
