Comparison of the effects of forefoot jointpreserving arthroplasty and resectionreplacement arthroplasty on walking plantar pressure distribution and patient-based outcomes in patients with rheumatoid arthritis
Category: Midfoot/Forefoot Introduction/Purpose: The purpose of this retrospective study is to clarify the difference in plantar pressure distribution during walking and related patient-based outcomes between forefoot joint-preserving arthroplasty and resection-replacement arthroplasty in patients w...
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Online Access: | https://doi.org/10.1177/2473011418S00216 |
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doaj-c9c340336a8b497887c06969a1f1c07a2020-11-25T03:15:28ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142018-09-01310.1177/2473011418S00216Comparison of the effects of forefoot jointpreserving arthroplasty and resectionreplacement arthroplasty on walking plantar pressure distribution and patient-based outcomes in patients with rheumatoid arthritisKosuke Ebina MDHideki Tsuboi MDMakoto Hirao MD, PhDTakaaki Noguchi MDCategory: Midfoot/Forefoot Introduction/Purpose: The purpose of this retrospective study is to clarify the difference in plantar pressure distribution during walking and related patient-based outcomes between forefoot joint-preserving arthroplasty and resection-replacement arthroplasty in patients with rheumatoid arthritis (RA). Methods: Four groups of patients were recruited. Group1 included 22 feet of 11 healthy controls (age 48.6 years), Group2 included 36 feet of 28 RA patients with deformed non-operated feet (age 64.8 years, Disease activity score assessing 28 joints with CRP [DAS28-CRP] 2.3), Group3 included 27 feet of 20 RA patients with metatarsal head resection-replacement arthroplasty (age 60.7 years, post-operative duration 5.6 years, DAS28-CRP 2.4), and Group4 included 34 feet of 29 RA patients with metatarsophalangeal (MTP) joint-preserving arthroplasty (age 64.6 years, post-operative duration 3.2 years, DAS28-CRP 2.3). Patients were cross-sectionally examined by F-SCAN II® to evaluate walking plantar pressure, and the self-administered foot evaluation questionnaire (SAFE-Q). Twenty joint-preserving arthroplasty feet were longitudinally examined at both pre- and post-operation. Results: In the 1st MTP joint, Group4 showed higher pressure distribution (13.7%) than Group2 (8.0%) and Group3 (6.7%) (P<0.001). In the 2nd-3 rd MTP joint, Group4 showed lower pressure distribution (9.0%) than Group2 (14.5%) (P<0.001) and Group3 (11.5%) (P<0.05). On longitudinal analysis, Group4 showed increased 1st MTP joint pressure (8.5% vs. 14.7%; P<0.001) and decreased 2nd-3 rd MTP joint pressure (15.2% vs. 10.7%; P<0.01) distribution. In the SAFE-Q subscale scores, Group4 showed higher scores than Group3 in pain and pain-related scores (84.1 vs. 71.7; P<0.01) and in shoe-related scores (62.5 vs. 43.1; P<0.01). Conclusion: Joint-preserving arthroplasty resulted in higher 1st MTP joint and lower 2nd-3 rd MTP joint pressures than resection-replacement arthroplasty, which were associated with better patient-based outcomes.https://doi.org/10.1177/2473011418S00216 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kosuke Ebina MD Hideki Tsuboi MD Makoto Hirao MD, PhD Takaaki Noguchi MD |
spellingShingle |
Kosuke Ebina MD Hideki Tsuboi MD Makoto Hirao MD, PhD Takaaki Noguchi MD Comparison of the effects of forefoot jointpreserving arthroplasty and resectionreplacement arthroplasty on walking plantar pressure distribution and patient-based outcomes in patients with rheumatoid arthritis Foot & Ankle Orthopaedics |
author_facet |
Kosuke Ebina MD Hideki Tsuboi MD Makoto Hirao MD, PhD Takaaki Noguchi MD |
author_sort |
Kosuke Ebina MD |
title |
Comparison of the effects of forefoot jointpreserving arthroplasty and resectionreplacement arthroplasty on walking plantar pressure distribution and patient-based outcomes in patients with rheumatoid arthritis |
title_short |
Comparison of the effects of forefoot jointpreserving arthroplasty and resectionreplacement arthroplasty on walking plantar pressure distribution and patient-based outcomes in patients with rheumatoid arthritis |
title_full |
Comparison of the effects of forefoot jointpreserving arthroplasty and resectionreplacement arthroplasty on walking plantar pressure distribution and patient-based outcomes in patients with rheumatoid arthritis |
title_fullStr |
Comparison of the effects of forefoot jointpreserving arthroplasty and resectionreplacement arthroplasty on walking plantar pressure distribution and patient-based outcomes in patients with rheumatoid arthritis |
title_full_unstemmed |
Comparison of the effects of forefoot jointpreserving arthroplasty and resectionreplacement arthroplasty on walking plantar pressure distribution and patient-based outcomes in patients with rheumatoid arthritis |
title_sort |
comparison of the effects of forefoot jointpreserving arthroplasty and resectionreplacement arthroplasty on walking plantar pressure distribution and patient-based outcomes in patients with rheumatoid arthritis |
publisher |
SAGE Publishing |
series |
Foot & Ankle Orthopaedics |
issn |
2473-0114 |
publishDate |
2018-09-01 |
description |
Category: Midfoot/Forefoot Introduction/Purpose: The purpose of this retrospective study is to clarify the difference in plantar pressure distribution during walking and related patient-based outcomes between forefoot joint-preserving arthroplasty and resection-replacement arthroplasty in patients with rheumatoid arthritis (RA). Methods: Four groups of patients were recruited. Group1 included 22 feet of 11 healthy controls (age 48.6 years), Group2 included 36 feet of 28 RA patients with deformed non-operated feet (age 64.8 years, Disease activity score assessing 28 joints with CRP [DAS28-CRP] 2.3), Group3 included 27 feet of 20 RA patients with metatarsal head resection-replacement arthroplasty (age 60.7 years, post-operative duration 5.6 years, DAS28-CRP 2.4), and Group4 included 34 feet of 29 RA patients with metatarsophalangeal (MTP) joint-preserving arthroplasty (age 64.6 years, post-operative duration 3.2 years, DAS28-CRP 2.3). Patients were cross-sectionally examined by F-SCAN II® to evaluate walking plantar pressure, and the self-administered foot evaluation questionnaire (SAFE-Q). Twenty joint-preserving arthroplasty feet were longitudinally examined at both pre- and post-operation. Results: In the 1st MTP joint, Group4 showed higher pressure distribution (13.7%) than Group2 (8.0%) and Group3 (6.7%) (P<0.001). In the 2nd-3 rd MTP joint, Group4 showed lower pressure distribution (9.0%) than Group2 (14.5%) (P<0.001) and Group3 (11.5%) (P<0.05). On longitudinal analysis, Group4 showed increased 1st MTP joint pressure (8.5% vs. 14.7%; P<0.001) and decreased 2nd-3 rd MTP joint pressure (15.2% vs. 10.7%; P<0.01) distribution. In the SAFE-Q subscale scores, Group4 showed higher scores than Group3 in pain and pain-related scores (84.1 vs. 71.7; P<0.01) and in shoe-related scores (62.5 vs. 43.1; P<0.01). Conclusion: Joint-preserving arthroplasty resulted in higher 1st MTP joint and lower 2nd-3 rd MTP joint pressures than resection-replacement arthroplasty, which were associated with better patient-based outcomes. |
url |
https://doi.org/10.1177/2473011418S00216 |
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