Long-term outcome of joint-preserving surgery by combination metatarsal osteotomies for shortening for forefoot deformity in patients with rheumatoid arthritis

Niki, Hisateru; Hirano, Takaaki; Akiyama, Yoshikatsu; Mitsui, Hiroyuki; Fujiya, Hiroto

doi:10.3109/14397595.2015.1008672

Cited by 34 publications

(22 citation statements)

References 21 publications

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“…The 1st MTP joint deformity often causes lessor toe deformities and midfoot instability 8 . In patients with RA, the surgeries for HV, such as arthrodesis, resection arthroplasty, and osteotomy, have been reported to show good clinical results 9, 10, 11, 12. Conversely, in nonsurgical treatment for HV, education, footwear, orthoses, and anti-inflammatory drugs have been recommended and their efficacies have been reported 13, 14, 15.…”

Section: Introductionmentioning

confidence: 99%

Effect of an orthosis on foot center of pressure translation for treatment of hallux valgus in patients with rheumatoid arthritis: A report of 17 cases

Mochizuki¹,

Yano

Ikari

et al. 2020

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilit

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ObjectivesWe aimed to investigate the change in the center of pressure (COP) path and distribution with or without orthosis for hallux valgus (HV) in patients with rheumatoid arthritis (RA).MethodsIn total, 17 patients and 21 feet were enrolled. We measured the COP path using the COP path measurement device (F-Scan II system). The HV angle (HVA); the anteroposterior COP path length, which was measured as a percentage of the foot length (%Long); transverse width of the COP path which was measured from the most medial to the most lateral point and expressed as a percentage of maximum foot width (%Trans); and the final site of the walking locus were analyzed by comparing patients with RA with and without orthosis.ResultsTesting without and with the orthosis showed that the HVAs were 31.8° ± 9.3° and 25.2° ± 6.8° (p < 0.001), the %Long values were 61.1% ± 5.5% and 69.2% ± 5.9% (p < 0.001), and the %Trans values were 28.0% ± 9.1% and 30.1% ± 8.3% (p = 0.108). The final site of the walking locus for the 1st interphalangeal joint without and with orthosis were 8 feet (38.1%) and 15 feet (71.4%) (p = 0.020), respectively.ConclusionsThe results indicated that the orthosis for HV improved the walking path and should be considered as a therapeutic option in nonpharmacological treatment of RA.

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Section: Introductionmentioning

confidence: 99%

Effect of an orthosis on foot center of pressure translation for treatment of hallux valgus in patients with rheumatoid arthritis: A report of 17 cases

Mochizuki¹,

Yano

Ikari

et al. 2020

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilit

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“…Several joint-preserving procedures have been reported to yield good clinical results. 11,13,14,33,34,36,42 We recently reported on correctional osteotomies of the first metatarsal and shortening oblique osteotomy (SOO) of the lesser metatarsals to preserve joint function as an alternative to joint-sacrificing surgeries. 34 In the current study, we investigated the clinical and radiographic outcomes of resection and joint-preserving arthroplasty for forefoot deformities in patients with RA.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Resection and Joint-Preserving Arthroplasty for Forefoot Deformities for Rheumatoid Arthritis

et al. 2018

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“…A insuficiência da cartilagem articular é decorrente de fatores mecânicos, genéticos, hormonais, ósseos e metabólicos, que acarretam desequilíbrios entre a degradação e a síntese da cartilagem articular e do osso subcondral [1,2,3]. Esta doença degenerativa pode comprometer a articulação temporomandibular, e esta estrutura juntamente com os ossos, músculos, dentes, lábios, língua, bochechas, glândulas, artérias, veias e nervos, compõem o sistema estomatognático [4].…”

Section: Introductionunclassified

Influência Da Osteoartrose Na Atividade Eletromiográfica Dos Músculos Mastigatórios

Righetti¹,

Palinkas²,

Taube³

et al. 2018

Anais Do v Congresso Brasileiro De Eletromiografia E Cinesiologia E X Simpósio De Engenharia Biomédica

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Resumo: Osteoartrose é uma doença articular degenerativa crônica, considerada grave, evolutiva, limitante, que agride as articulações sinoviais, que tem uma baixa capacidade regenerativa e baixa resposta aos tratamentos. Este estudo avaliou por meio da atividade eletromiográfica se a osteoartrose promove alteração funcional no sistema estomatognático. Participaram 28 indivíduos que foram distribuídos em dois grupos: 14 indivíduos com osteoartrose e 14 indivíduos sem osteoartrose. A avaliação eletromiográfica do músculo masseter direito (MD), masseter esquerdo (ME), temporal direito (TD) e temporal esquerdo (TE) foi realizada em repouso; apertamento dental em contração voluntária máxima; lateralidade direita e esquerda, protrusão e mastigação. Palavras-chave:Osteoartrose, eletromiografia, músculos mastigatórios. Abstract:Osteoarthrosis is a chronic, degenerative joint disease considered to be severe and limiting, damaging the synovial joints, which has a low regenerative capacity and response to treatments. This study evaluated by means of electromyographic activity if osteoarthrosis promotes functional alteration in the stomatognathic system. There were 28 participants who were divided in two groups: 14 individuals with osteoarthrosis and 14 individuals without osteoarthrosis. The electromyographic evaluation of right masseter (RM), left masseter (LM), right temporal (RT) and left temporal (LT) muscles was performed in rest, maximum voluntary contraction, right and left laterality, protrusion and mastigation. Keywords:Osteoarthrosis, electromyography, masticatory muscles. IntroduçãoOsteoartrose é uma doença articular degenerativa crônica, caracterizada pela progressão lenta e idiopática, que agride as articulações sinoviais, com alteração da cartilagem articular, que pode acometer o tecido ósseo e circundantes, modificando o funcionamento das células, tecidos ou órgãos do corpo humano. A insuficiência da cartilagem articular é decorrente de fatores mecânicos, genéticos, hormonais, ósseos e metabólicos, que acarretam desequilíbrios entre a degradação e a síntese da cartilagem articular e do osso subcondral [1,2,3]. Esta doença degenerativa pode comprometer a articulação temporomandibular, e esta estrutura juntamente com os ossos, músculos, dentes, lábios, língua, bochechas, glândulas, artérias, veias e nervos, compõem o sistema estomatognático [4]. As estruturas deste sistema agem de forma conjunta, de tal maneira que qualquer modificação anatômica ou funcional específica pode levar ao desequilíbrio no sistema estomatognático. Este estudo teve como objetivo analisar a atividade EMG e eficiência mastigatória dos músculos masseteres e temporais de indivíduos com osteoartrose e compará-las com indivíduos sem a doença degenerativa.

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Long-term outcome of joint-preserving surgery by combination metatarsal osteotomies for shortening for forefoot deformity in patients with rheumatoid arthritis

Abstract: With good perioperative medical management of RA, surgical repositioning of the metatarsophalangeal joints by proximal metatarsal shortening and consequent relaxing of the surrounding soft tissue shows successful long-term results.

Cited by 34 publications

References 21 publications

Effect of an orthosis on foot center of pressure translation for treatment of hallux valgus in patients with rheumatoid arthritis: A report of 17 cases

Effect of an orthosis on foot center of pressure translation for treatment of hallux valgus in patients with rheumatoid arthritis: A report of 17 cases

Outcomes of Resection and Joint-Preserving Arthroplasty for Forefoot Deformities for Rheumatoid Arthritis

Influência Da Osteoartrose Na Atividade Eletromiográfica Dos Músculos Mastigatórios

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