 |
MR Vol.14 No.2 indexに戻る
 |
MODERN RHEUMATOLOGY
Vol.14 No.2 |
 |
|
|
 |
|
|
Partial tarsal arthrodesis for rheumatoid feet |
|
|
| Yasuhito Tanaka1 , Yoshinori Takakura1, Akira
Taniguchi1, Kazuya Sugimoto1, Tsukasa Kumai1 and Akihiro Fukui1 |
| (1) Department of Orthopaedic Surgery, Nara Medical
University, Kashihara, 634-8522, Japan |
| Received: 30 May 2003 Accepted: 19 August 2003 |
| 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. |
| |
| Key words |
| Arthrodesis - Intertarsal joint - Rheumatoid
arthritis - Talocalcaneal joint - Talonavicular joint |
|
|
 |
|
|
