Arthrodesis Of The First Metsatarophalangeal Joint For Rheumatoid Arthritis And Hallux Valgus / 대한정형외과학회잡지

ABSTRACT

PURPOSE: We reviewed the result of metatarsophalangeal arthrodesis of the great toe in rheumatoid arthritis and severe hallux valgus. MATERIALS AND METHODS: From February 1994 to March 1997, 68 patients were operated on. The follow up averaged 2.8 years. We evaluated the subjective improvement with respect to pain, ability to stand and walk and shoe wear, the radiologic improvement with respect to hallux valgus angle, intermetatarsal angle and dorsiflexion angle. RESULTS: Arthrodesis of the first metatarsophalangeal joint was resulted in a good functional improvement in 91% of hallux valgus and 94% of rheumatoid arthritis with respect to pain relief. Preoperative hallux valgus angle in rheumatoid arthritis was 42.5o, and the postoperative hallux valgus angle 10.1o. Preoperative hallux valgus angle in severe hallux valgus was 38.2o, postoperative hallux valgus 8.7o. CONCLUSION: Arthrodesis of the first metatarsophalangeal joint was an excellent operation for correction of the rheumatoid arthritis and severe hallux valgus, and there were no different result between these two groups.