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https://www.readbyqxmd.com/read/27903299/arthroscopic-arthrodesis-for-ankle-arthritis-without-bone-graft
#1
Xiaojun Duan, Liu Yang, Li Yin
BACKGROUND: Ankle arthrodesis is considered by many to be the standard operative treatment for end-stage ankle arthritis. The purpose of this study was to perform a new technique for ankle joint surface and determine the outcome for the union rates of ankle arthroscopic arthrodesis. METHODS: A total of 68 patients with posttraumatic arthritis, primary osteoarthritis, and rheumatoid arthritis were treated by ankle arthroscopic arthrodesis between May 2007 and December 2012...
December 1, 2016: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/27852376/-rheumatoid-arthritis-involving-tibialis-posterior-tendon-study-on-the-early-diagnostic-value-of-power-doppler-ultrasonography-and-comparison-with-surgery
#2
J Y Mao, X H Zhao, H Dai, X J Gao, L L Lu
Objective: To explore the value of power Doppler ultrasonography (PDUS) in the early diagnosis of tibialis posterior tendon injury induced by rheumatoid arthritis (RA). Method: From January 2014 to December 2015, a total of 48 cases (60 feet) of RA tendinopathy group were selected as the research subjects from Guanghua Hospital; 12 cases(20 feet) of non-RA tendinopathy group and 10 cases (20 feet) of healthy volunteers were selected as control group.The blood flow signals of pannus were observed by PDUS to determine whether the tendon was injured or the degree of the injury...
November 8, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27846766/comparison-of-a-self-administered-foot-evaluation-questionnaire-safe-q-between-joint-preserving-arthroplasty-and-resection-replacement-arthroplasty-in-forefoot-surgery-for-patients-with-rheumatoid-arthritis
#3
Kosuke Ebina, Makoto Hirao, Jun Hashimoto, Akihide Nampei, Kenrin Shi, Tetsuya Tomita, Kazuma Futai, Yasuo Kunugiza, Takaaki Noguchi, Hideki Yoshikawa
OBJECTIVES: To clarify the difference of patient-based outcome between joint-preserving arthroplasty and resection-replacement arthroplasty in forefoot surgery for patients with rheumatoid arthritis (RA). METHODS: A total of 63 feet of 49 RA patients who underwent forefoot surgery were asked to answer pre-operative and post-operative self-administered foot evaluation questionnaire (SAFE-Q). Patients were treated with either (1) metatarsal head resection-replacement arthroplasty (28 feet, post-operative mean age 63...
November 16, 2016: Modern Rheumatology
https://www.readbyqxmd.com/read/27558507/reduced-induction-of-anti-pf4-heparin-antibody-in-ra-patients-after-total-knee-arthroplasty
#4
Masahiro Izumi, Tatsuya Sakai, Atsunori Shirakawa, Hideko Kozuru, Yuka Jiuchi, Yasumori Izumi, Tomohiko Asahara, Kenji Kumagai, Masaaki Mawatari, Makoto Osaki, Satoru Motokawa, Kiyoshi Migita
BACKGROUND: Heparin-induced thrombocytopenia is caused by antibodies (Abs) specific to platelet factor 4 (PF4)/heparin complexes. In this study, we evaluated the rates of seroconversion of anti-PF4/heparin Ab between patients with rheumatoid arthritis (RA) and with osteoarthritis (OA) who underwent total knee arthroplasty. METHODS: The subjects of this randomized controlled trial were 124 patients who underwent total knee arthroplasty (TKA) and received edoxaban with or without a foot pump as thromboprophylaxis...
2016: Arthritis Research & Therapy
https://www.readbyqxmd.com/read/27550190/subsidence-of-total-ankle-component-associated-with-deterioration-of-an-ankle-scale-in-non-inflammatory-arthritis-but-not-in-rheumatoid-arthritis
#5
Takahiro Iwata, Hiromu Ito, Moritoshi Furu, Masahiro Ishikawa, Masayuki Azukizawa, Hiroyuki Yoshitomi, Takayuki Fujii, Haruhiko Akiyama, Shuichi Matsuda
OBJECTIVES: Modern three-component total ankle arthroplasty (TAA) has favorable clinical results and survival rates. However, radiographic deterioration and worsening of clinical symptoms may occur in patients with rheumatoid arthritis (RA) or non-inflammatory arthritis (NA). The associations between outcomes and clinical and radiological factors are not clear. We compared midterm clinical and radiographic outcomes after TAA between patients with RA and those with NA. METHODS: Twenty-six TAAs were performed using a three-component prosthesis, the FINE Total Ankle System during the study period...
August 23, 2016: Modern Rheumatology
https://www.readbyqxmd.com/read/27542719/tibiotalocalcaneal-arthrodesis-with-headless-compression-screws
#6
Ji-Cheng Gong, Bing-Hua Zhou, Xu Tao, Cheng-Song Yuan, Kang-Lai Tang
BACKGROUND: Tibiotalocalcaneal arthrodesis with headless compression screws has not been previously reported. We hypothesized that these screws could be suitable for tibiotalocalcaneal arthrodesis because of their special design. This study aimed to evaluate the clinical outcomes of patients undergoing tibiotalocalcaneal arthrodesis with headless compression screws for the treatment of severe arthropathy of the ankle and subtalar joint. METHODS: From 2010 to 2015, 23 patients with severe ankle and subtalar arthropathy underwent tibiotalocalcaneal arthrodesis...
August 19, 2016: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/27425844/appearance-of-hindfoot-valgus-deformity-and-recurrence-of-hallux-valgus-in-the-very-early-period-after-hallux-valgus-surgery-in-a-poorly-controlled-rheumatoid-arthritis-case-a-case-report
#7
Makoto Hirao, Kosuke Ebina, Hideki Tsuboi, Takaaki Noguchi, Jun Hashimoto, Hideki Yoshikawa
Control of rheumatoid arthritis (RA) disease activity is an important factor related to the development of hallux valgus (HV) deformity. Furthermore, if valgus hindfoot remains and/or appears after HV surgery, the affected foot is at risk of recurrence of HV deformity. We experienced a case suggesting the possibility that hindfoot valgus deformity appeared after HV surgery because of poor control of RA disease activity, and the HV deformity recurred in the very early period after surgery.
July 18, 2016: Modern Rheumatology
https://www.readbyqxmd.com/read/27398097/interpreting-outcome-following-foot-surgery-in-people-with-rheumatoid-arthritis
#8
Michael R Backhouse, Karen A Vinall-Collier, Anthony C Redmond, Philip S Helliwell, Anne-Maree Keenan
BACKGROUND: Foot surgery is common in RA but the current lack of understanding of how patients interpret outcomes inhibits evaluation of procedures in clinical and research settings. This study aimed to explore which factors are important to people with RA when they evaluate the outcome of foot and ankle surgery. METHODS AND RESULTS: Semi structured interviews with 11 RA participants who had mixed experiences of foot surgery were conducted and analysed using thematic analysis...
2016: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/27327630/novel-treatment-of-99tc-mdp-improves-clinical-and-radiographic-results-for-patients-with-osteochondral-lesions-of-the-talus
#9
Hongjuan Liu, Huili Guo, Shunong Guo, Junhui Wang, Yanju Ye, Chao Ma
BACKGROUND: Management of osteochondral lesions of talus (OLT) remains controversial. 99Tc-MDP,a decay product of 99mTc-MDP which is widely used for bone scan, is effective in the clinical treatment of rheumatoid arthritis. The purpose of the study is to investigate the effects of 99Tc-MDP treatment on OLT. METHODS: In the clinical evaluation, 66 patients with a total of 83 lesions of OLT who failed appropriate nonoperative treatment and surgery were retrospectively included and treated with intravenous injection of 99Tc-MDP and Chinese herbal fumigation (CHF)...
June 21, 2016: Quarterly Journal of Nuclear Medicine and Molecular Imaging
https://www.readbyqxmd.com/read/27310027/association-between-preoperative-pain-intensity-of-mtp-joint-callosities-of-the-lesser-toes-and-fore-mid-hindfoot-deformities-in-rheumatoid-arthritis-cases
#10
Makoto Hirao, Kosuke Ebina, Kenrin Shi, Tetsuya Tomita, Takaaki Noguchi, Hideki Tsuboi, Jun Hashimoto, Hideki Yoshikawa
OBJECTIVES: To determine whether preoperative pain intensity in callosities of the lesser toe metatarsopharangeal (MTP) joint was associated with the grade of fore-mid-hindfoot deformities, because rheumatoid arthritis (RA) foot deformity includes the whole part of foot, and curiously differences between cases in the pain intensity of MTP joint callosities are often observed. METHODS: We evaluated 24 feet that had undergone forefoot surgery [August, 2014 - December, 2015] for painful lesser toe MTP joint deformity (callosities) in RA cases...
June 16, 2016: Modern Rheumatology
https://www.readbyqxmd.com/read/27167420/-eleven-year-experience-with-total-ankle-arthroplasty
#11
S Popelka, A Sosna, P Vavřík, D Jahoda, V Barták, I Landor
UNLABELLED: PURPOSE OF THE STUDY Total joint replacement is one of the options in surgical treatment of advanced ankle arthritis. It allows the ankle to remain mobile but, unfortunately, it does not provide the same longevity as total knee or hip replacements. Therefore, decisions concerning the kind of treatment are very individual and depend on the clinical status and opinion of each patient. MATERIAL AND METHODS A total of 132 total ankle replacements were carried out in the period from 2004 to 2015...
2016: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/27129711/delayed-wound-healing-and-postoperative-surgical-site-infections-in-patients-with-rheumatoid-arthritis-treated-with-or-without-biological-disease-modifying-antirheumatic-drugs
#12
Masahiro Tada, Kentaro Inui, Yuko Sugioka, Kenji Mamoto, Tadashi Okano, Takuya Kinoshita, Noriaki Hidaka, Tatsuya Koike
Biological disease-modifying antirheumatic drugs (bDMARDs) have become more popular for treating rheumatoid arthritis (RA). Whether or not bDMARDs increase the postoperative risk of surgical site infection (SSI) has remained controversial. We aimed to clarify the effects of bDMARDs on the outcomes of elective orthopedic surgery. We used multivariate logistic regression analysis to analyze risk factors for SSI and delayed wound healing among 227 patients with RA (mean age, 65.0 years; disease duration, 16.9 years) after 332 elective orthopedic surgeries...
June 2016: Clinical Rheumatology
https://www.readbyqxmd.com/read/27040050/changes-in-foot-function-disease-activity-and-disability-after-forefoot-resection-arthroplasty-in-patients-with-rheumatoid-arthritis
#13
Fusakazu Sawachika, Hirokazu Uemura, Sakurako Katsuura-Kamano, Miwa Yamaguchi, Tirani Bahari, Keisuke Miki, Satoshi Todo, Masayuki Inoo, Ikuko Onishi, Noriyuki Kurata, Kokichi Arisawa
The purpose of this study was to investigate the changes in foot function, disease activity, and disability in patients with RA after resection arthroplasty of the forefoot (arthroplasty). Arthroplasty was performed on 11 patients with RA. All study patients underwent clinical assessment to measure disease activity (Disease Activity Score in 28 Joints-C-reactive protein, DAS28-CRP), disability (Health Assessment Questionnaire-Disability Index, HAQ-DI) and foot function (Foot Function Index, FFI) at the following stages: preoperatively and 1, 3, and 12 months after surgery...
2016: Journal of Medical Investigation: JMI
https://www.readbyqxmd.com/read/26842388/the-foot-function-index-is-more-sensitive-to-change-than-the-leeds-foot-impact-scale-for-evaluating-rheumatoid-arthritis-patients-after-forefoot-or-hindfoot-reconstruction
#14
Imraan Muradin, Huub J L van der Heide
PURPOSE: This study examines the responsiveness of the Foot Functional Index (FFI) and Leeds Foot Impact Scale for Rheumatoid Arthritis (LFIS-RA) in rheumatoid arthritis (RA) patients receiving a forefoot or hindfoot reconstruction. METHODS: This was a prospective cohort study including 30 rheumatoid arthritis patients with severe rheumatoid foot deformities in need for surgical correction. Responsiveness was measured using distribution-based methods (standardized effect size, standardized response mean and Guyatt responsiveness ratio) and anchor-based methods (receiver operating characteristics curves and correlation analyses) by making use of an anchor question...
April 2016: International Orthopaedics
https://www.readbyqxmd.com/read/26543742/biologic-free-remission-by-orthopaedic-surgery-in-non-responder-to-infliximab-for-rheumatoid-arthritis
#15
Katsuaki Kanbe, Junji Chiba, Yasuo Inoue, Masashi Taguchi, Akiko Yabuki
The aim of this study was to investigate remission and biologic-free remission after orthopaedic surgery and related clinical factors in non-responder to infliximab for rheumatoid arthritis (RA). We analyzed 74 patients who were treated with 3 mg/kg infliximab and methotrexate and underwent orthopaedic surgery after non-responder to infliximab with disease activity score (DAS) 28 (CRP) of ≥3.2. The rates of remission and biologic-free remission at 52 weeks after orthopaedic surgery were investigated and the clinical factors related to remission and biologic-free remission were analyzed by logistic regression and receiver-operating characteristic analyses...
2015: SpringerPlus
https://www.readbyqxmd.com/read/26449390/outcome-of-joint-preserving-arthroplasty-for-rheumatoid-forefoot-deformities
#16
Jun-ichi Fukushi, Yasuharu Nakashima, Ken Okazaki, Hisakata Yamada, Taro Mawatari, Masanobu Ohishi, Akiko Oyamada, Yukio Akasaki, Yukihide Iwamoto
BACKGROUND: Along with the recent advances in the pharmacological management of rheumatoid arthritis, there is a trend toward the use of joint-preserving surgery in the treatment of rheumatoid forefoot deformities. However, the clinical outcomes of joint-preserving surgery for rheumatoid forefoot deformities have not been assessed in comparison to resection arthroplasty. METHODS: We retrospectively evaluated 23 feet in 17 patients with rheumatoid forefoot deformities who underwent surgery between January 2010 and December 2013...
March 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26357931/risk-factors-for-surgical-site-infection-and-delayed-wound-healing-after-orthopedic-surgery-in-rheumatoid-arthritis-patients
#17
Yasutaka Kadota, Keiichiro Nishida, Kenzo Hashizume, Yoshihisa Nasu, Ryuichi Nakahara, Tomoko Kanazawa, Masatsugu Ozawa, Ryozo Harada, Takahiro Machida, Toshifumi Ozaki
OBJECTIVE: To investigate the prevalence and the risk factors of surgical-site infection (SSI) and delayed wound healing (DWH) in patients with rheumatoid arthritis (RA) underwent orthopedic surgery. METHODS: We reviewed the records of 1036 elective orthopedic procedures undertaken in RA patients. Risk factors for SSI and DWH were assessed by logistic regression analysis using age, body mass index, disease duration, pre-operative laboratory data, surgical procedure, corticosteroid use, co-morbidity, and use of conventional synthetic disease-modifying anti-rheumatic drugs (csDMARDs) and biological DMARDs (bDMARDs) as variables...
2016: Modern Rheumatology
https://www.readbyqxmd.com/read/26315348/does-arthrodesis-of-the-first-metatarsophalangeal-joint-correct-the-intermetatarsal-m1m2-angle-analysis-of-a-continuous-series-of-208-arthrodeses-fixed-with-plates
#18
F Dalat, F Cottalorda, M-H Fessy, J-L Besse
INTRODUCTION: First-ray metatarsophalangeal arthrodesis is a classic surgical procedure in the treatment of severe hallux valgus, hallux rigidus, revision surgery, and inflammatory arthritis. The objective of this study was to verify if metatarsophalangeal plate arthrodesis could correct the M1M2 intermetatarsal angle. MATERIAL AND METHODS: This prospective and continuous series (June 2007 to March 2011) included 208 patients (48% severe and/or arthritic hallux valgus, 18% hallux rigidus, 16% rheumatoid forefoot, 13% surgical revision of the first ray, 5% hallux varus), with a mean age of 62...
October 2015: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/26156044/longer-operative-time-is-the-risk-for-delayed-wound-healing-after-forefoot-surgery-in-patients-with-rheumatoid-arthritis
#19
Koichiro Yano, Katsunori Ikari, Yoshihito Takatsuki, Atsuo Taniguchi, Hisashi Yamanaka, Shigeki Momohara
OBJECTIVES: Forefoot deformities are common in patients with rheumatoid arthritis (RA) and often require operative treatment. There is a high rate of delayed wound healing after foot surgery, especially among patients with RA. The aim of this study was to identify risk factors of delayed wound healing in RA patients who had undergone forefoot surgery. METHODS: This study was a retrospective observational study designed to analyze the outcomes of all consecutive RA patients who had undergone toe arthroplasty from April 2010 through May 2014 at a single institute...
2016: Modern Rheumatology
https://www.readbyqxmd.com/read/26015614/locking-plate-versus-retrograde-intramedullary-nail-fixation-for-tibiotalocalcaneal-arthrodesis-a-retrospective-analysis
#20
Chi Zhang, Zhongmin Shi, Guohua Mei
BACKGROUND: Tibiotalocalcaneal arthrodesis (TTCA) surgery is indicated for the end-stage disease of the tibiotalar and subtalar joints. Although different fixation technique of TTCA has been proposed to achieve high fusion rate and low complication rate, there is still no consensus upon this point. The purpose of this study is to compare the clinical efficacy of retrograde intramedullary nail fixation (RINF) and locking plate fixation (LPF) for TTCA. MATERIALS AND METHODS: Fifty four patients who underwent TTCA through the lateral approach with lateral fibular osteotomy using RINF (32 patients, 18 male/14 female, mean age: 48) or LPF (22 patients, 12 male/10 female, mean age: 51) between January 2007 and January 2010 were retrospectively analyzed...
March 2015: Indian Journal of Orthopaedics
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