Mid-term results of joint-preserving procedures by a modified Mann method for big toe deformities in rheumatoid patients undergoing forefoot surgeries
This study aimed to evaluate joint-preserving procedures by a modified Mann method for rheumatoid forefoot deformities and their functional outcomes in the mid-term. Eleven feet in seven patients underwent forefoot surgery using a modified Mann method for the big toe, combined with offset osteotomy...
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| Veröffentlicht in: | Modern rheumatology 2010-04, Vol.20 (2), p.147-153 |
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| creator | Takakubo, Yuya Takagi, Michiaki Tamaki, Yasunobu Sasaki, Akiko Nakano, Haruki Orui, Hiroshi Ogino, Toshihiko |
| description | This study aimed to evaluate joint-preserving procedures by a modified Mann method for rheumatoid forefoot deformities and their functional outcomes in the mid-term. Eleven feet in seven patients underwent forefoot surgery using a modified Mann method for the big toe, combined with offset osteotomy or resection arthroplasty of the lesser toes. The mean follow-up period was 3.6 years. The mean score on the Japanese Society for Surgery of the Foot scale for rheumatoid arthritis foot and ankle joints improved from 44.0 to 72.0. The mean hallux valgus angle improved from 39.4° to 20.5° and the mean M1M5 angle improved from 31.1° to 25.8°. However, deformities involving a hallux valgus angle of more than 25.0° recurred in three feet at the latest follow-up, although the patients did not complain of any symptoms from the recurrence. Improvement in the Sharp score for joint space narrowing was observed in the big toe, indicating better congruity of the metatarsophalangeal joint. For restraint of rheumatoid forefoot deformities, a modified Mann method, combined with offset osteotomy or resection arthroplasty, was satisfactory for not only improving the foot function, but also preserving the metatarsophalangeal joint mobility. |
| doi_str_mv | 10.1007/s10165-009-0253-2 |
| format | Article |
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Eleven feet in seven patients underwent forefoot surgery using a modified Mann method for the big toe, combined with offset osteotomy or resection arthroplasty of the lesser toes. The mean follow-up period was 3.6 years. The mean score on the Japanese Society for Surgery of the Foot scale for rheumatoid arthritis foot and ankle joints improved from 44.0 to 72.0. The mean hallux valgus angle improved from 39.4° to 20.5° and the mean M1M5 angle improved from 31.1° to 25.8°. However, deformities involving a hallux valgus angle of more than 25.0° recurred in three feet at the latest follow-up, although the patients did not complain of any symptoms from the recurrence. Improvement in the Sharp score for joint space narrowing was observed in the big toe, indicating better congruity of the metatarsophalangeal joint. For restraint of rheumatoid forefoot deformities, a modified Mann method, combined with offset osteotomy or resection arthroplasty, was satisfactory for not only improving the foot function, but also preserving the metatarsophalangeal joint mobility.</description><identifier>ISSN: 1439-7595</identifier><identifier>EISSN: 1439-7609</identifier><identifier>DOI: 10.1007/s10165-009-0253-2</identifier><identifier>PMID: 20012459</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Arthritis, Rheumatoid - complications ; Feet ; Female ; Fingers & toes ; Hallux Valgus - etiology ; Hallux Valgus - surgery ; Humans ; Joint surgery ; Medicine ; Medicine & Public Health ; Metatarsophalangeal Joint - surgery ; Middle Aged ; Original Article ; Orthopedic Procedures - methods ; Orthopedics ; Quality of Life ; Recovery of Function ; Rheumatoid arthritis ; Rheumatology ; Surgical outcomes</subject><ispartof>Modern rheumatology, 2010-04, Vol.20 (2), p.147-153</ispartof><rights>Japan College of Rheumatology 2009</rights><rights>Japan College of Rheumatology 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-4cf9716b89365af1fae27675d6f8f0eb3aae7207d3d69b7542bdb63ce38d65193</citedby><cites>FETCH-LOGICAL-c415t-4cf9716b89365af1fae27675d6f8f0eb3aae7207d3d69b7542bdb63ce38d65193</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10165-009-0253-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10165-009-0253-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20012459$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takakubo, Yuya</creatorcontrib><creatorcontrib>Takagi, Michiaki</creatorcontrib><creatorcontrib>Tamaki, Yasunobu</creatorcontrib><creatorcontrib>Sasaki, Akiko</creatorcontrib><creatorcontrib>Nakano, Haruki</creatorcontrib><creatorcontrib>Orui, Hiroshi</creatorcontrib><creatorcontrib>Ogino, Toshihiko</creatorcontrib><title>Mid-term results of joint-preserving procedures by a modified Mann method for big toe deformities in rheumatoid patients undergoing forefoot surgeries</title><title>Modern rheumatology</title><addtitle>Mod Rheumatol</addtitle><addtitle>Mod Rheumatol</addtitle><description>This study aimed to evaluate joint-preserving procedures by a modified Mann method for rheumatoid forefoot deformities and their functional outcomes in the mid-term. Eleven feet in seven patients underwent forefoot surgery using a modified Mann method for the big toe, combined with offset osteotomy or resection arthroplasty of the lesser toes. The mean follow-up period was 3.6 years. The mean score on the Japanese Society for Surgery of the Foot scale for rheumatoid arthritis foot and ankle joints improved from 44.0 to 72.0. The mean hallux valgus angle improved from 39.4° to 20.5° and the mean M1M5 angle improved from 31.1° to 25.8°. However, deformities involving a hallux valgus angle of more than 25.0° recurred in three feet at the latest follow-up, although the patients did not complain of any symptoms from the recurrence. Improvement in the Sharp score for joint space narrowing was observed in the big toe, indicating better congruity of the metatarsophalangeal joint. For restraint of rheumatoid forefoot deformities, a modified Mann method, combined with offset osteotomy or resection arthroplasty, was satisfactory for not only improving the foot function, but also preserving the metatarsophalangeal joint mobility.</description><subject>Arthritis, Rheumatoid - complications</subject><subject>Feet</subject><subject>Female</subject><subject>Fingers & toes</subject><subject>Hallux Valgus - etiology</subject><subject>Hallux Valgus - surgery</subject><subject>Humans</subject><subject>Joint surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metatarsophalangeal Joint - surgery</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Orthopedic Procedures - methods</subject><subject>Orthopedics</subject><subject>Quality of Life</subject><subject>Recovery of Function</subject><subject>Rheumatoid arthritis</subject><subject>Rheumatology</subject><subject>Surgical outcomes</subject><issn>1439-7595</issn><issn>1439-7609</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpFkd9OXCEQxknTpuq2D9AbQ7zH8ucAy6UxaptoetNen3CWYWXjgRU4Jr5In7ezWU2vgI_ffJOZj5Bvgl8Kzu33JrgwmnHuGJdaMfmBnIpBOWYNdx_f79rpE3LW2o5zpd3afSYnknMhB-1Oyd-HFFiHOtMKbXnqjZZIdyXlzvaoQH1JeUv3tWwgLCjQ6ZV6OpeQYoJAH3zOdIb-WAKNpdIpbWkvQAPga049YUXKtD7CMvteUqB7j2LGPksOULflYI8s8qXTttQtVCz6Qj5F_9Tg69u5In9ub35f_2D3v-5-Xl_ds80gdGfDJjorzLR2ymgfRfQgrbE6mLiOHCblPVjJbVDBuMnqQU5hMmoDah2MFk6tyMXRFyd8XqD1cVeWmrHlKJW0mmvc4Yqcv0HLNEMY9zXNvr6O71tEQB6Bhl8ZJ_jvIvh4iGo8RjViVOMhKnT_B_nah74</recordid><startdate>20100401</startdate><enddate>20100401</enddate><creator>Takakubo, Yuya</creator><creator>Takagi, Michiaki</creator><creator>Tamaki, Yasunobu</creator><creator>Sasaki, Akiko</creator><creator>Nakano, Haruki</creator><creator>Orui, Hiroshi</creator><creator>Ogino, Toshihiko</creator><general>Springer Japan</general><general>Informa Healthcare</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PADUT</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope></search><sort><creationdate>20100401</creationdate><title>Mid-term results of joint-preserving procedures by a modified Mann method for big toe deformities in rheumatoid patients undergoing forefoot surgeries</title><author>Takakubo, Yuya ; Takagi, Michiaki ; Tamaki, Yasunobu ; Sasaki, Akiko ; Nakano, Haruki ; Orui, Hiroshi ; Ogino, Toshihiko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-4cf9716b89365af1fae27675d6f8f0eb3aae7207d3d69b7542bdb63ce38d65193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Arthritis, Rheumatoid - complications</topic><topic>Feet</topic><topic>Female</topic><topic>Fingers & toes</topic><topic>Hallux Valgus - etiology</topic><topic>Hallux Valgus - surgery</topic><topic>Humans</topic><topic>Joint surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metatarsophalangeal Joint - surgery</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Orthopedic Procedures - methods</topic><topic>Orthopedics</topic><topic>Quality of Life</topic><topic>Recovery of Function</topic><topic>Rheumatoid arthritis</topic><topic>Rheumatology</topic><topic>Surgical outcomes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takakubo, Yuya</creatorcontrib><creatorcontrib>Takagi, Michiaki</creatorcontrib><creatorcontrib>Tamaki, Yasunobu</creatorcontrib><creatorcontrib>Sasaki, Akiko</creatorcontrib><creatorcontrib>Nakano, Haruki</creatorcontrib><creatorcontrib>Orui, Hiroshi</creatorcontrib><creatorcontrib>Ogino, Toshihiko</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Research Library China</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><jtitle>Modern rheumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takakubo, Yuya</au><au>Takagi, Michiaki</au><au>Tamaki, Yasunobu</au><au>Sasaki, Akiko</au><au>Nakano, Haruki</au><au>Orui, Hiroshi</au><au>Ogino, Toshihiko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mid-term results of joint-preserving procedures by a modified Mann method for big toe deformities in rheumatoid patients undergoing forefoot surgeries</atitle><jtitle>Modern rheumatology</jtitle><stitle>Mod Rheumatol</stitle><addtitle>Mod Rheumatol</addtitle><date>2010-04-01</date><risdate>2010</risdate><volume>20</volume><issue>2</issue><spage>147</spage><epage>153</epage><pages>147-153</pages><issn>1439-7595</issn><eissn>1439-7609</eissn><abstract>This study aimed to evaluate joint-preserving procedures by a modified Mann method for rheumatoid forefoot deformities and their functional outcomes in the mid-term. Eleven feet in seven patients underwent forefoot surgery using a modified Mann method for the big toe, combined with offset osteotomy or resection arthroplasty of the lesser toes. The mean follow-up period was 3.6 years. The mean score on the Japanese Society for Surgery of the Foot scale for rheumatoid arthritis foot and ankle joints improved from 44.0 to 72.0. The mean hallux valgus angle improved from 39.4° to 20.5° and the mean M1M5 angle improved from 31.1° to 25.8°. However, deformities involving a hallux valgus angle of more than 25.0° recurred in three feet at the latest follow-up, although the patients did not complain of any symptoms from the recurrence. Improvement in the Sharp score for joint space narrowing was observed in the big toe, indicating better congruity of the metatarsophalangeal joint. For restraint of rheumatoid forefoot deformities, a modified Mann method, combined with offset osteotomy or resection arthroplasty, was satisfactory for not only improving the foot function, but also preserving the metatarsophalangeal joint mobility.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>20012459</pmid><doi>10.1007/s10165-009-0253-2</doi><tpages>7</tpages></addata></record> |
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| ispartof | Modern rheumatology, 2010-04, Vol.20 (2), p.147-153 |
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| source | MEDLINE; SpringerLink Journals; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Arthritis, Rheumatoid - complications Feet Female Fingers & toes Hallux Valgus - etiology Hallux Valgus - surgery Humans Joint surgery Medicine Medicine & Public Health Metatarsophalangeal Joint - surgery Middle Aged Original Article Orthopedic Procedures - methods Orthopedics Quality of Life Recovery of Function Rheumatoid arthritis Rheumatology Surgical outcomes |
| title | Mid-term results of joint-preserving procedures by a modified Mann method for big toe deformities in rheumatoid patients undergoing forefoot surgeries |
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