Hypermobility of the first metatarsal bone in patients with Rheumatoid arthritis treated by lapidus procedure

Popelka, S; Hromádka, Rastislav; Vavřík, P; Barták, V; Sosna, A

doi:10.1186/1471-2474-13-148

Cited by 13 publications

(19 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…They achieved good to excellent pain relief in 80 % of patients. These results were echoed by Popleka et al in their study [56]. They concluded that the Lapidus procedure may be useful as a preventive surgery.…”

Section: Surgical Managementsupporting

confidence: 68%

The rheumatoid forefoot

Brooks

Hariharan

2013

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

Rheumatoid arthritis (RA) manifests itself in a variety of ways, with its effect being seen in around 90 % of sufferers' feet. The foot has been found to be the most common reason for incapacity in patients with RA, with the forefoot the most common area. The foot is second, behind only the hand, as the most common place for manifestation of RA. Pain in the foot is commonly the most debilitating condition, which causes the patient to seek specialist help. As well as pain, foot deformities such as hallux valgus and claw toes are common complaints. These symptoms often arise as a result of continued walking on an unstable foot, leading to painful callosities and dislocation of the metatarsophalangeal joints. Other conditions, such as pannus formation and Morton's neuroma, can be related to RA. This review sets out what we believe to be a successful approach to the rheumatoid forefoot, which aims at the relief of pain and the preservation of ambulation. Key to a successful outcome is appropriate medical control with a multidisciplinary approach that enables close liaison between orthopaedic surgeons, orthotists, and rheumatologists. Combined clinics provide this multidisciplinary care. Those treating RA need to be aware of the high incidence of foot involvement and how early intervention may benefit the patient. The aim of this article is to present current evidence to enable people to develop a treatment algorithm for this condition.

show abstract

Section: Surgical Managementsupporting

confidence: 68%

The rheumatoid forefoot

Brooks

Hariharan

2013

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

show abstract

“…In case of moderate to severe HV and/or insufficiency of the first ray, modified Lapidus procedure is known to be associated with good clinical outcome (Faber et al, 2013;McInnes and Bouche, 2001;Popelka et al, 2012;Toolan, 2007;Willegger et al, 2015) due to efficient correction of the deformity and stabilization of the first ray (Avino et al, 2008;Galli et al, 2015;King et al, 2014;Popelka et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Outcome of the modified Lapidus procedure for hallux valgus deformity during the first year following surgery: A prospective clinical and gait analysis study

Moerenhout

Chopra

Crevoisier

2019

Clinical Biomechanics

View full text Add to dashboard Cite

“…The rate of union in our series was compared to similar studies in the published literature using the two-population probability test, or Z-test. 2,4,[11][12][13][14][15][16][17][18][19] To allow for the use of the two-population probability test, only case series were used where the total number of feet and non-unions were reported. The significance level was set at p<0.05.…”

Section: Statisticsmentioning

confidence: 99%

“…Fixation in these studies were mainly solid AO screws, or locked plates with or without lag screws. 2,4,[10][11][12][13][14][15][16][17][18][19]…”

Section: Union Ratesmentioning

confidence: 99%

Cross-screw technique for the modified Lapidus procedure using headless compression screws

2019

View full text Add to dashboard Cite

The aim was to evaluate union rates using two cross headless compression screws for the modified Lapidus procedure. This was compared to conventional fixation using solid AO screws and plates, as recorded in the published literature. Patients and methods: This is a retrospective study of the modified Lapidus procedure performed in patients with a moderate to severe hallux valgus deformity. Union time and patient demographics were retrieved from medical records. Patient demographics included age, sex, smoking habits and other comorbidities. The union rate was compared to the literature using the two-population probability test, with p<0.05 being significant. Results: Sixty-nine feet in 56 patients were assessed for radiographic union. There were three delayed unions and two non-unions. The union rate of 97% was not statistically different when compared to studies using conventional solid AO screws. Conclusion: The use of headless compression screws in the fixation of the first tarsometatarsal joint and early mobilisation was found to be comparable to conventional solid AO screws with regard to union rates. The cannulated design enhances ease of insertion and, being headless, minimises the risk of intra-operative fracture and hardware prominence requiring subsequent removal.

show abstract

Hypermobility of the first metatarsal bone in patients with Rheumatoid arthritis treated by lapidus procedure

Cited by 13 publications

References 31 publications

The rheumatoid forefoot

The rheumatoid forefoot

Outcome of the modified Lapidus procedure for hallux valgus deformity during the first year following surgery: A prospective clinical and gait analysis study

Cross-screw technique for the modified Lapidus procedure using headless compression screws

Contact Info

Product

Resources

About