RA足に対するResection Arthroplastyの検討

抄録

In 119 patients with classical and definite rheumatoid arthritis, clinical and X-ray findings of the foot were examined. In a majority of them, plantal callosity was found in the second and third metatarso-phalangeal joints and more frequently in patients with normal medial arches than in those with flat feet.
Surgical treatment for 16 forefeet with painful deformities in 8 patients was carried out. In 6 patients the fat pad of the forefoot became wider after resection arthroplasty of the metatarso-phalangeal joints (Leliever's procedure) .We thought that this was the major factor of the relief of forefoot pain. Recurrence of painful deformities was found in one patient who had received insufficient resectioning.