Treatment of an Intractable Forefoot Ulcer Using Realignment Osteotomy in a Patient with Rheumatoid Arthritis
Joint Authors
Imai, Makoto
Kondo, Naoki
Kumazaki, Rei
Endo, Naoto
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-07-27
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Forefoot deformities are common among patients with rheumatoid arthritis (RA).
Herein, we describe a case of intractable ulceration on the dorsomedial aspect of the right 5th digit, secondary to forefoot deformity, in a 76-year-old woman with a 35-year history of RA.
The ulcer was due to a persistent subcutaneous infection.
Although the infection was controllable with antibiotics, there was concern of relapse because of the abnormal pressure on the skin due to an overlap of the 4th and 5th digits.
We proceeded with surgical correction of the forefoot alignment, including shortening oblique osteotomy of metatarsals 2 through 5, rather than amputation of the 5th digit.
Following surgery, targeted antibiotic treatment was provided.
The postoperative course was unremarkable, and the patient recovered weight-bearing function without recurrence of pain or ulceration.
Forefoot realignment is a feasible option that should be considered for treating intractable foot pain and ulceration secondary to long-lasting RA.
American Psychological Association (APA)
Imai, Makoto& Kondo, Naoki& Kumazaki, Rei& Endo, Naoto. 2020. Treatment of an Intractable Forefoot Ulcer Using Realignment Osteotomy in a Patient with Rheumatoid Arthritis. Case Reports in Orthopedics،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1150039
Modern Language Association (MLA)
Imai, Makoto…[et al.]. Treatment of an Intractable Forefoot Ulcer Using Realignment Osteotomy in a Patient with Rheumatoid Arthritis. Case Reports in Orthopedics No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1150039
American Medical Association (AMA)
Imai, Makoto& Kondo, Naoki& Kumazaki, Rei& Endo, Naoto. Treatment of an Intractable Forefoot Ulcer Using Realignment Osteotomy in a Patient with Rheumatoid Arthritis. Case Reports in Orthopedics. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1150039
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150039