Rheumatoid forefoot reconstruction Surgical Technique
Subscribe to get full access to this operation and the extensive Foot Surgery Atlas.
CPD/CME Points: 1
Learn the Rheumatoid forefoot reconstruction surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Rheumatoid forefoot reconstruction surgical procedure.
The most commonly used combination of surgical procedures for the symptomatic Rheumatoid forefoot (though many alternatives have been described) is a corrective fusion of the 1st MTP, excision of the lesser metatarsal heads and osteoclasis (closed corrective fracturing) of lesser toe deformities .
The results are dramatic and usually transformatory but the soft tissues not infrequently are slow to heal.
Holistic management of these patients is important and requires considering all other joints involved as well as careful management of any disease modifying medications in the peri-operative period.
Author: Mark Herron FRCS
Institution: The Wellington Hospital , London