The Foot
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Comparative Study
Joint preserving surgery for rheumatoid forefoot deformities improves pain and corrects deformity at midterm follow-up.
Rheumatoid arthritis is a chronic autoimmune disorder that commonly affects the metatarsophalangeal (MTP) joints. Conventional surgical treatment involves joint-sacrificing surgery to relieve pain and correct deformity. ⋯ In intermediate to severe stages of the disease, joint preserving surgery by Scarf osteotomy of the first MTP joint and Weil osteotomy of the lesser metatarsals may be performed as an alternative to joint-sacrificing procedures and should be considered as a complement to the various surgical treatments of the rheumatoid forefoot.
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Comparative Study
Metalwork removal in elective foot and ankle practice: does it make any difference to the patient?
Increasing use of metalwork in foot and ankle surgery has led to an increasing number of subsequent surgeries for metalwork removal. The aim of the current study was to determine whether removing metalwork from foot and ankle makes any difference to the patients in terms of pain, function or shoe wear related outcomes. ⋯ We can recommend removal of metalwork in symptomatic patients after 1st ray surgeries but other foot and ankle surgeries require further investigation.