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イカリ カツノリ
Ikari Katsunori
猪狩 勝則 所属 医学部 医学科（東京女子医科大学病院） 職種 教授 |
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| 論文種別 | 症例報告 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Triple osteotomy for erosive first metatarsal in a patient with rheumatoid arthritis: a case report. |
| 掲載誌名 | 正式名：Modern rheumatology case reports 略 称：Mod Rheumatol Case Rep ISSNコード：24725625/24725625 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 5(1),pp.6-10 |
| 著者・共著者 | Tobimatsu Haruki, Ikari Katsunori, Yano Koichiro, Okazaki Ken |
| 担当区分 | 責任著者 |
| 発行年月 | 2021/01 |
| 概要 | Recently, over the half of the patients with rheumatoid arthritis achieved clinical remission with beneficial effects of disease modifying anti-rheumatic drugs, including biological disease modifying anti-rheumatic drugs. Because the patients in remission should have no/reduced progression of joint damage, there is a trend towards joint-preserving surgery in the treatment of rheumatoid forefoot deformities. Here we report a 76-year-old woman with rheumatoid arthritis developed a severe forefoot deformity including a large bony erosion of the first metatarsal head. She showed near remission for rheumatoid arthritis without having clinically active synovitis in her MTP joints. To preserving her metatarsophalangeal joint, a double first metatarsal osteotomy was planned to remove the bony erosion and simultaneously correct the hallux valgus. Thirty-month follow-up demonstrated excellent radiographical and patient-reported outcomes. To the best of our knowledge, this is the first case of a double first metatarsal osteotomy to remove the bony erosion and simultaneously correct the hallux valgus in a patient with rheumatoid arthritis with a large erosion of the first metatarsal head. |
| DOI | 10.1080/24725625.2020.1789303 |
| PMID | 33269650 |