Year 2024 / Volume 35 / Number 1

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Original Papers

Surgical approach to rheumatic foot. Case series

Rev. Esp. Pod. 2024; 35(1): 17-21 / DOI: 10.20986/revesppod.2024.1678/2023

Ana M.ª Rayo Pérez, Francisco Javier Rodríguez Castillo, Rafael Rayo Rosado, María Reina Bueno


ABSTRACT

Introduction: Rheumatoid arthritis is an autoimmune, infl ammatory, chronic and progressive disease that aff ects the musculoskeletal system and can cause deformity, pain and decreased function of the foot, being able to observe the presence of a triangular forefoot and claw toes with decreased of mobility and pain. Its treatment can be conservative and/or surgical.
Patients and methods: 20 cases of patients with rheumatoid arthritis who underwent arthrodesis of the fi rst metatarsophalangeal joint and metatarsal panresection, accompanied or not by digital alignment, are presented. Immediate post-surgical and post-surgical follow-up after one year of evolution are assessed.
Results: After the intervention, a Likert scale satisfaction mean of 9.10 and a visual analogue pain scale mean of 0.40 were achieved. Likewise, a considerable decrease in the hallux abductus valgus angles and intermetatarsal angle I-II is achieved.
Conclusions: The combination of arthrodesis of the fi rst metatarsophalangeal joint with metatarsal pan-resection is the choice in this type of patient, since it increases the functionality of the foot and signifi cantly reduces pain symptoms.



RESUMEN

Introducción: La artritis reumatoide es una enfermedad autoinmune, inflamatoria, crónica y progresiva, que afecta al aparato locomotor y que puede provocar deformidad, dolor y disminución de la función del pie, pudiéndose observar la presencia de un antepié triangular y dedos en garra con disminución de la movilidad y dolor. Su tratamiento puede ser conservador y/o quirúrgico.
Pacientes y métodos: Se presentan 20 casos de pacientes con artritis reumatoide intervenidos mediante artrodesis de la primera articulación metatarsofalángica y panresección metatarsal, acompañado o no de alineamiento digital. Se valora seguimiento postquirúrgico inmediato y postquirúrgico al año de evolución.
Resultados: Tras la intervención, se consigue una media de satisfacción de la escala Likert de 9.10 y una media de la escala visual analógica de dolor de 0.40. Asimismo, se consigue una disminución considerable de los ángulos hallux abductus valgus y ángulo intermetatarsal I-II.
Conclusiones: La combinación de artrodesis de la primera articulación metatarsofalángica con la panresección metatarsal es de elección en este tipo de pacientes, ya que permite aumentar la funcionabilidad del pie y disminuir signifi cativamente la sintomatología dolorosa.


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Instrucciones para citar

Rayo Pérez A, Rodríguez Castillo F, Rayo Rosado R, Reina Bueno M. Surgical approach to rheumatic foot. Case series. Rev Esp Pod 2024; 35(1): 17-21 / DOI: 1020986/revesppod20241678/2023


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Recibido: 11/11/2023

Aceptado: 30/01/2024

Prepublicado: 27/05/2024

Publicado: 28/06/2024

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Tiempo de prepublicación: 198 días

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2024 Revista Española de Podología
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