Foot and Ankle Surgery
Volume 16, Issue 2 , Pages 74-77, June 2010

Technical tips: Modified resection arthroplasty for correction of rheumatoid forefoot deformity

  • Tun Hing Lui, MBBS (HK), FRCS (Edin), FHKAM, FHKCOS

      Affiliations

    • Corresponding Author InformationTel.: +852 26837588.

Department of Orthopaedics and Traumatology, North District Hospital, 9 Po Kin Road, Sheung Shui, NT, Hong Kong, China

Received 11 May 2009; received in revised form 25 May 2009; accepted 26 May 2009. published online 09 July 2009.

Abstract 

Forefoot deformity occurs in nearly 90% of patients with rheumatoid arthritis. Resection arthroplasty of the lesser metatarsophalangeal joints is one of the commonest procedures performed in case of patients failed to respond to conservative treatment. Kirschner wires are used to stabilize the resection arthroplasty sites. We present a modified technique to improve the sagittal plane alignment by bending of the wires dorsally at the site of resection arthroplasty.

Keywords: Rheumatoid, Forefoot, Deformity, Sagittal, Lesser toe, Resection arthroplasty

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PII: S1268-7731(09)00067-8

doi:10.1016/j.fas.2009.05.009

Foot and Ankle Surgery
Volume 16, Issue 2 , Pages 74-77, June 2010