Effect of correction of hindfoot valgus deformity on ankle joint pain relief in rheumatoid arthritis cases: A report of two cases.
Effect of correction of hindfoot valgus deformity on ankle joint pain relief in rheumatoid arthritis cases: A report of two cases.
复制标题
在类风湿关节炎病例中校正后足外侧畸形对踝关节疼痛缓解的影响：两例报告。
DOI：
10.1177/2050313x14553694
复制
发表时间：
2014
影响因子：
0.8
通讯作者：
Hashimoto J
中科院分区：
文献类型：
--
作者：
Hirao M;Tsuboi H;Akita S;Matsushita M;Ohshima S;Saeki Y;Hashimoto J
在类风湿性关节炎中，我们经常看到痛苦的踝关节破坏和痛苦的后足外翻畸形。我们对这类病例的治疗策略是首先通过融合术矫正距下关节的后足畸形，但随后观察到踝关节疼痛。两名患有类风湿性关节炎的女性接受了后足外翻畸形矫正和融合手术。他们一直使用轮椅，因为严重的疼痛，在踝关节和后足，尽管广泛的医疗。手术后，两名患者均主诉后足无疼痛。此外，还观察到踝关节疼痛显著减轻，特别是在没有踝关节不稳定的情况下。因此，患者可以在没有任何支撑的情况下行走。后足外翻畸形的矫正有助于集中踝关节的承重线，从而缓解踝关节疼痛。即使在类风湿性关节炎病例中，如果踝关节稳定，似乎也可以保留踝关节而无需额外的踝关节手术。
We often see painful ankle joint destruction with painful hindfoot valgus deformity in rheumatoid arthritis. Our policy in such cases has been to first correct the hindfoot deformity in the subtalar joint with fusion, but then ankle joint pain has been observed. Two women with rheumatoid arthritis underwent correction and fusion surgery for hindfoot valgus deformity. They had been using wheelchairs because of severe pain in the ankle joint and hindfoot despite extensive medical treatment. After surgery, both patients complained of no pain in the hindfoot. Furthermore, dramatic pain reduction in the ankle joint was also observed especially in a case without ankle joint instability. Consequently, the patients could walk without any support. Correction of valgus hindfoot deformity contributes to centralizing the weight-bearing line in the ankle joint, leading to ankle joint pain relief. It appears possible to preserve the ankle joint without additional ankle surgery even in rheumatoid arthritis cases, if ankle is stable.