Unique ID issued by UMIN | UMIN000004646 |
---|---|
Receipt number | R000005530 |
Scientific Title | Comparison Between Resection and Arthrodesis of the First MTP Joint for Rheumatoid Forefoot |
Date of disclosure of the study information | 2010/12/01 |
Last modified on | 2015/06/01 09:04:38 |
Comparison Between Resection and Arthrodesis of the First MTP Joint for Rheumatoid Forefoot
Comparison Between Resection and Arthrodesis of the First MTP Joint for Rheumatoid Forefoot
Comparison Between Resection and Arthrodesis of the First MTP Joint for Rheumatoid Forefoot
Comparison Between Resection and Arthrodesis of the First MTP Joint for Rheumatoid Forefoot
Japan |
Rheumatoid Arthritis
Orthopedics |
Others
NO
Most of patients with rheumatoid arthritis have problems with their feet. The painful, deformed rheumatoid forefoot may be treated with resection of the lesser metatarsal heads combined with either arthrodesis or resection of the first metatarsophalangeal (MTP) joint. Good results have been observed in previous surgical procedures. Recurrent deformity of both the hallux valgus (HV) and lesser toes were reported, when the HV deformity was managed by resection. This criticism, however, was based on historical observation from previous studies. There was no prospective or randomized study. So we performed the prospective, randomized, internal-controlled clinical study. To compare the clinical results of arthrodesis and resection of the first MTP joint in simultaneous operation for same patient who had the painful, deformed rheumatoid forefoot.
Efficacy
Clinical results (AOFAS score)
Radiographic evaluation (hallux valgus angle, M1M2 angle, and M1M5 angle)
Recurrence rate (hallux valgus, crow toe, and callosities)
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
NO
NO
Institution is not considered as adjustment factor.
NO
No need to know
2
Treatment
Maneuver |
Arthrodesis of the first metatarsophalangeal joint
Resection of the first metatarsophalangeal joint
20 | years-old | <= |
Not applicable |
Male and Female
Rheumatoid arthritis patinets according to creiteria of America Collage of Rheumatology
Patients of bilateral forefoot deformities (hallux valgus, crow toe)
Patients of unilateral forefoot deformities (hallux valgus, crow toe)
Patients perfermed surgery for forefoot deformities
50
1st name | |
Middle name | |
Last name | Masahiro Tada |
Osaka City University Medical School
Orthopaedic Surgery
1-4-3, Asahimachi, Abeno-ku, Osaka, Japan
06-6645-3852
m-tada@med.osaka-cu.ac.jp
1st name | |
Middle name | |
Last name | Masahiro Tada |
Osaka City University Medical School
Orthopaedic Surgery
1-4-3, Asahimachi, Abeno-ku, Osaka, Japan
06-6645-3852
m-tada@med.osaka-cu.ac.jp
Osaka City University Medical School, Orthopaedic Surgery
nothing
Self funding
NO
2010 | Year | 12 | Month | 01 | Day |
Published
Completed
2006 | Year | 01 | Month | 01 | Day |
2006 | Year | 01 | Month | 01 | Day |
2014 | Year | 12 | Month | 01 | Day |
2015 | Year | 04 | Month | 01 | Day |
2015 | Year | 08 | Month | 01 | Day |
2015 | Year | 12 | Month | 01 | Day |
2010 | Year | 12 | Month | 01 | Day |
2015 | Year | 06 | Month | 01 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005530