| Surgery of the rheumatoid foot and ankle. | |
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MedLine Citation:
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PMID: 9567205 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Numerous reconstructive procedures have been used to address the manifestations of rheumatoid arthritis in the foot and ankle. Clinical studies have documented that these procedures relieve pain, however they often sacrifice motion essential to the normal function of the foot. In the forefoot, metatarsophalangeal joint resection arthroplasty shortens the lever arm of the foot, defunctions the toes, and disables the plantar plate and fat pad. Arthrodesis of the ankle and hindfoot alters gait and the effective transmission of weight-bearing stresses through the foot and ankle. These ablative procedures may provoke the deterioration of adjacent joints and may cripple the long-term function of the lower extremity. The introduction of reconstructive procedures designed to preserve motion in joints essential to function and the recognition and treatment of muscle imbalances associated with bone and joint deformities are recent advances in the surgical management of the rheumatoid foot and ankle. |
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Authors:
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B C Toolan; S T Hansen |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Current opinion in rheumatology Volume: 10 ISSN: 1040-8711 ISO Abbreviation: Curr Opin Rheumatol Publication Date: 1998 Mar |
Date Detail:
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Created Date: 1998-06-19 Completed Date: 1998-06-19 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 9000851 Medline TA: Curr Opin Rheumatol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 116-9 Citation Subset: IM |
Affiliation:
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University of Chicago Medical Center, Section of Orthopaedic Surgery and Rehabilitation Medicine, IL 60637, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Ankle
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surgery* Ankle Joint / surgery Arthritis, Rheumatoid / surgery* Arthroplasty, Replacement Flatfoot / surgery Foot / surgery* Humans |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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