Abstract
Partial intertarsal joint arthrodesis was performed on 12 feet of 11 patients as a surgical treatment for planovalgus deformity of the foot and lesions of the intertarsal joints caused by rheumatoid arthritis. Single arthrodesis was performed on the talocalcaneal joint in eight feet, two of which underwent simultaneous total ankle arthroplasty, and on the talonavicular joint in two feet. Double arthrodesis was done on the talocalcaneal and talonavicular joints in one foot and on the talonavicular and calcaneocuboid joints in one foot. Screws or staples were used for fixation. Patients were followed for 2 years to 8 years 7 months (average 4 years 3 months). Osseous fusion was achieved in all feet, and satisfactory pain relief was obtained in all cases except one. We performed this surgery in patients who were relatively active, and the results indicated that arthrodesis of a small number of joints that caused pain and deformity was effective in reducing pain and correcting the deformity. We concluded that partial tarsal arthrodesis should be performed on a limited number of joints during the early stages of planovalgus deformity of the foot because more joints are found to be fixed during the advanced stages. However, progression of the osteoarthritis was found in the neighboring joints. Close follow-up observation is needed.
| Original language | English |
|---|---|
| Pages (from-to) | 130-134 |
| Number of pages | 5 |
| Journal | Modern Rheumatology |
| Volume | 14 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2004 Jun |
| Externally published | Yes |
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Keywords
- Arthrodesis
- Intertarsal joint
- Rheumatoid arthritis
- Talocalcaneal joint
- Talonavicular joint
ASJC Scopus subject areas
- Rheumatology
- Immunology
Cite this
Partial tarsal arthrodesis for rheumatoid feet. / Tanaka, Yasuhito; Takakura, Yoshinori; Taniguchi, Akira; Sugimoto, Kazuya; Kumai, Tsukasa; Fukui, Akihiro.
In: Modern Rheumatology, Vol. 14, No. 2, 06.2004, p. 130-134.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Partial tarsal arthrodesis for rheumatoid feet
AU - Tanaka, Yasuhito
AU - Takakura, Yoshinori
AU - Taniguchi, Akira
AU - Sugimoto, Kazuya
AU - Kumai, Tsukasa
AU - Fukui, Akihiro
PY - 2004/6
Y1 - 2004/6
N2 - Partial intertarsal joint arthrodesis was performed on 12 feet of 11 patients as a surgical treatment for planovalgus deformity of the foot and lesions of the intertarsal joints caused by rheumatoid arthritis. Single arthrodesis was performed on the talocalcaneal joint in eight feet, two of which underwent simultaneous total ankle arthroplasty, and on the talonavicular joint in two feet. Double arthrodesis was done on the talocalcaneal and talonavicular joints in one foot and on the talonavicular and calcaneocuboid joints in one foot. Screws or staples were used for fixation. Patients were followed for 2 years to 8 years 7 months (average 4 years 3 months). Osseous fusion was achieved in all feet, and satisfactory pain relief was obtained in all cases except one. We performed this surgery in patients who were relatively active, and the results indicated that arthrodesis of a small number of joints that caused pain and deformity was effective in reducing pain and correcting the deformity. We concluded that partial tarsal arthrodesis should be performed on a limited number of joints during the early stages of planovalgus deformity of the foot because more joints are found to be fixed during the advanced stages. However, progression of the osteoarthritis was found in the neighboring joints. Close follow-up observation is needed.
AB - Partial intertarsal joint arthrodesis was performed on 12 feet of 11 patients as a surgical treatment for planovalgus deformity of the foot and lesions of the intertarsal joints caused by rheumatoid arthritis. Single arthrodesis was performed on the talocalcaneal joint in eight feet, two of which underwent simultaneous total ankle arthroplasty, and on the talonavicular joint in two feet. Double arthrodesis was done on the talocalcaneal and talonavicular joints in one foot and on the talonavicular and calcaneocuboid joints in one foot. Screws or staples were used for fixation. Patients were followed for 2 years to 8 years 7 months (average 4 years 3 months). Osseous fusion was achieved in all feet, and satisfactory pain relief was obtained in all cases except one. We performed this surgery in patients who were relatively active, and the results indicated that arthrodesis of a small number of joints that caused pain and deformity was effective in reducing pain and correcting the deformity. We concluded that partial tarsal arthrodesis should be performed on a limited number of joints during the early stages of planovalgus deformity of the foot because more joints are found to be fixed during the advanced stages. However, progression of the osteoarthritis was found in the neighboring joints. Close follow-up observation is needed.
KW - Arthrodesis
KW - Intertarsal joint
KW - Rheumatoid arthritis
KW - Talocalcaneal joint
KW - Talonavicular joint
UR - http://www.scopus.com/inward/record.url?scp=20444381726&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=20444381726&partnerID=8YFLogxK
U2 - 10.1007/s10165-004-0279-4
DO - 10.1007/s10165-004-0279-4
M3 - Article
VL - 14
SP - 130
EP - 134
JO - Modern Rheumatology
JF - Modern Rheumatology
SN - 1439-7595
IS - 2
ER -