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Koichiro Yano
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Associate Professor |
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| Article types | Case report |
| Language | English |
| Peer review | Peer reviewed |
| Title | Triple osteotomy for erosive first metatarsal in a patient with rheumatoid arthritis: a case report. |
| Journal | Formal name：Modern rheumatology case reports Abbreviation：Mod Rheumatol Case Rep ISSN code：24725625/24725625 |
| Domestic / Foregin | Foregin |
| Volume, Issue, Page | 5(1),pp.6-10 |
| Author and coauthor | Tobimatsu Haruki, Ikari Katsunori, Yano Koichiro, Okazaki Ken |
| Publication date | 2021/01 |
| Summary | 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 |