跟骨角度与类风湿关节炎患者术后拇外翻复发的关系。

Q2 Health Professions

Foot Pub Date : 2024-12-18 DOI:10.1016/j.foot.2024.102155

Wataru Uehara, Toshifumi Fujiwara, Ryosuke Yamaguchi, Hidetoshi Tsushima, Daisuke Hara, Yukio Akasaki, Yasuharu Nakashima

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引用次数: 0

摘要

拇外翻（HV）和平足畸形常见于类风湿关节炎（RA）患者。本研究旨在确定平足畸形是否与类风湿关节炎患者的HV复发有关。这项研究检查了45名被诊断为HV的RA患者的62英尺，这些患者在2010年11月至2021年10月期间接受了第一次跖关节保留手术。记录的数据包括手术年龄、性别、病程、体重指数（BMI）、RA病程、RA用药情况、Larsen分级、血液检查、日本足部外科学会术前/术后、HV角、M1M2角、M1M5角、尺距角、Meary’s角。x线摄影上的HV复发定义为HV角超过20°。在17英尺中观察到HV复发。BMI、病程、Larsen分级4-5级、术前跟骨俯仰角等危险因素均存在显著差异。多因素logistic回归分析发现，较低的BMI、较高的M1M2角、较低的跟骨俯仰角是RA患者术后HV复发的术前危险因素。证据等级：3。

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Association of calcaneal pitch angle with recurrence of postoperative hallux valgus in patients with rheumatoid arthritis

Hallux valgus (HV) and flatfoot deformities are frequently seen in patients with rheumatoid arthritis (RA). This study aimed to determine whether flatfoot deformity contributes to the recurrence of HV in RA patients. This study examined 62 feet from 45 RA patients who were diagnosed with HV and underwent the first metatarsal joint-preserving surgery between November 2010 and October 2021. Recorded data included age at surgery, sex, disease duration, body mass index [BMI], RA disease duration, medical treatment of RA, Larsen grade, blood test, pre/postoperative Japanese Society for Surgery of the Foot, HV angle, M1M2 angle, M1M5 angle, calcal pitch angle, and Meary’s angle. HV recurrence on radiography was defined as an HV angle exceeding 20°. HV recurrence was observed in 17 feet. Significant differences were observed due to risk factors such as BMI, disease duration, Larsen grade 4–5, and preoperative calcaneal pitch angle. Multivariate logistic regression analysis identified that lower BMI, a higher M1M2 angle, and a lower calcaneal pitch angle are preoperative risk factors for the recurrence of postoperative HV in RA patients.

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来源期刊

Foot Health Professions-Podiatry

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： The Foot is an international peer-reviewed journal covering all aspects of scientific approaches and medical and surgical treatment of the foot. The Foot aims to provide a multidisciplinary platform for all specialties involved in treating disorders of the foot. At present it is the only journal which provides this inter-disciplinary opportunity. Primary research papers cover a wide range of disorders of the foot and their treatment, including diabetes, vascular disease, neurological, dermatological and infectious conditions, sports injuries, biomechanics, bioengineering, orthoses and prostheses.