Arthrodesis of the first metatarsophalangeal joint in patients with rheumatoid arthritis with bioabsorbable self-reinforced poly( l/dl)lactide 70:30 screw fixation—a preliminary report

Background: Arthrodesis of the first metatarsophalangeal and resection arthroplasty of the lesser metatarsophalangeal joints are commonly used operations in rheumatoid arthritis of the forefoot joints. Objective: Nine arthrodeses of the first metatarsophalangeal (MTP) joint with bioabsorbable self-r...

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Veröffentlicht in:Foot (Edinburgh, Scotland) Scotland), 2002, Vol.12 (4), p.233-241
Hauptverfasser: Voutilainen, Nina H., Jukkala-Partio, Kirsi, Rokkanen, Pentti U
Format: Artikel
Sprache:eng
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Zusammenfassung:Background: Arthrodesis of the first metatarsophalangeal and resection arthroplasty of the lesser metatarsophalangeal joints are commonly used operations in rheumatoid arthritis of the forefoot joints. Objective: Nine arthrodeses of the first metatarsophalangeal (MTP) joint with bioabsorbable self-reinforced poly( l/dl)lactide 70:30 (SR-P( l/dl)LA 70:30) screw fixation and six resection arthroplasties of the lesser metatarsophalangeal joints were performed on eight patients with rheumatoid arthritis. Results: All but one arthrodesis reached bony union in the position of 25–27° (mean 26°) of valgus and 17–19° (mean 18°) of dorsiflexion. Subjectively, the clinical result was excellent in four and good in five feet. No complications related to the bioabsorbable implants occurred during the 20–28 months follow-up time. Conclusions: The bioabsorbable implants appeared suitable for MTP 1 arthrodesis fixation in patients with rheumatoid arthritis.
ISSN:0958-2592
1532-2963
DOI:10.1016/S0958259202000731