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Arthrodesis versus Mayo resection: the management of the first metatarsophalangeal joint in reconstruction of the rheumatoid forefoot
Department of Molecular Medicine and Surgery, Karolinska Institute, Red Cross Hospital, Stockholm, Sweden.
Department of Woman and Child Health, Karolinska University Hospital, Stockholm, Sweden.
Orebro University Hospital. Department of Molecular Medicine and Surgery, Section of Orthopaedics, Karolinska Institute, Stockholm, Sweden.
Department of Molecular Medicine and Surgery, Section of Orthopaedics, Karolinska Institute, Stockholm, Sweden.
2006 (English)In: Journal of Bone and Joint Surgery, ISSN 0301-620X, E-ISSN 2044-5377, Vol. 88B, no 7, 914-919 p.Article in journal (Refereed) Published
Abstract [en]

In a prospective randomised study 31 patients were allocated to either arthrodesis or Mayo resection of the first metatarsophalangeal joint as part of a total reconstruction of the rheumatoid forefoot. Of these, 29 were re-examined after a mean of 72 months (57 to 80), the Foot Function Index was scored and any deformity measured. Load distribution was analysed using a Fscan mat in 14 cases, and time and distance were measured in 12 of these patients using a 3D Motion system. We found excellent patient satisfaction and a significant, lasting reduction of the Foot Function Index, with no statistically significant differences between the groups. There were no significant differences in recurrence of the deformity, the need for special shoes, gait velocity, step length, plantar moment, mean pressure or the position of the centre of force under the forefoot. The cadence was higher and the stance phase shorter in the fusion group.

These results suggest that a Mayo resection may be an equally good option for managing the first metatarsophalangeal joint in reconstruction of the rheumatoid forefoot.

Place, publisher, year, edition, pages
British Editorial Society of Bone and Joint Surger , 2006. Vol. 88B, no 7, 914-919 p.
National Category
Orthopedics Surgery
Identifiers
URN: urn:nbn:se:oru:diva-55768DOI: 10.1302/0301-620X.88B7.17472ISI: 000239228200014PubMedID: 16798995Scopus ID: 2-s2.0-33745950634OAI: oai:DiVA.org:oru-55768DiVA: diva2:1074548
Available from: 2017-02-15 Created: 2017-02-15 Last updated: 2017-04-03Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
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