Clayton M L, Leidholt J D, Clark W
Denver Orthopedic Specialists, P.C., CO 80218, USA.
Clin Orthop Relat Res. 1997 Jul(340):48-57. doi: 10.1097/00003086-199707000-00008.
Deformity of the forefoot is a common disabling problem in chronic rheumatoid arthritis. The most common deformifies are hallux valgus, cockup toes, and depressed metatarsal heads. Resection arthroplasty has been improved by adding reconstructive procedures, for example, medial capsular arthroplasty in the great toe and plantar plate arthroplasty of the lesser toes with longitudinal pinning of all toes for 4 weeks. Results were compared with a series of silicone double hinge implants without grommets in the great toe and resection of lesser metatarsal heads and pinning. Patients were evaluated by questionnaire to evaluate outcome. There was no significant difference in the two series of patients. Overall good results were 85% to 95% and slightly favored the group without implants. These results were equal to those reported in the literature for patients who underwent fusion of the great toe and resection arthroplasty of lesser toes.
前足畸形是慢性类风湿性关节炎中常见的致残问题。最常见的畸形是拇外翻、仰趾畸形和跖骨头凹陷。通过增加重建手术，如大脚趾内侧关节囊成形术和小脚趾跖板成形术，并对所有脚趾进行4周的纵向固定，切除术关节成形术得到了改进。将结果与一系列在大脚趾中没有索环的硅胶双铰链植入物以及小跖骨头切除术和固定术进行了比较。通过问卷调查对患者进行评估以评估结果。两组患者之间没有显著差异。总体良好结果为85%至95%，且略有利于无植入物组。这些结果与文献中报道的接受大脚趾融合术和小脚趾切除术关节成形术的患者的结果相当。
