ORIGINAL ARTICLES   

Chirurgia Del Piede 2008 April;32(1):1-4

Copyright © 2008 EDIZIONI MINERVA MEDICA

language: Italian

Surgical treatment of the rheumatoid fore-foot. 15 years follow up of complications and results

Delagoutte J. P., Charvet R., George T., Michel B., Coudane H.

Hopital Central, Nancy, France

Surgical treatment of the forefoot deformities is an indispensable pretraetment for efficient and successfull hip or knee arthroplasties and furthermore patients comfort. About a serie of 46 cases, with a follow up of 15 years, we think that it is necessary to do an arthrodesis of the metatarsophalangeal joint of the first ray and a resection of the metatarsal heads for the lesser toes with respect of the Lelièvre curve. The subjective and objective results of these procedures are good; the digital and metatarsal morphotype must be respected (square foot for the toes, and index plus minus for the metatarsians). The other techniques (Keller procedure, arthroplasties and osteotomies for the first ray or arthroplasties and osteotomies for the lesser toes) give poor results at the long term with recurrence of the deformities.