The Combination of Modified Mitchell’s Osteotomy and Shortening Oblique Osteotomy for Patients with Rheumatoid Arthritis: An Analysis of Changes in Plantar Pressure Distribution
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Participants
2.2. Surgical Procedures
2.3. Patient Background Parameters
2.4. Plantar Pressure Measurement
2.5. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Number of patients | 23 |
Number of female (%) | 21 (91.3) |
Number of feet | 26 |
Age, years | 60.0 (48.0–70.0) |
Disease duration of RA, years | 11.0 (7.0–15.0) |
Body mass index, kg/m2 | 21.5 (19.9–23.3) |
Larsen grade for the first MTPJ (number) | II:16, III:10 |
Preoperatively | One Year Potoperatively | |
---|---|---|
Methotrexate usage, number (%) | 17 (73.9) | 19 (82.6) |
Biologics usage, number (%) | 9 (39.1) | 11 (47.8) |
Prednisolone usage, number (%) | 13 (56.5) | 15 (65.2) |
Pain visual analog scale, mm | 31.0 (10.0–50.3) | 20.0 (6.5–40.0) * |
General visual analog scale, mm | 38.0 (19.0–60.3) | 26.0 (8.0–46.5) * |
DAS28-ESR | 2.6 (2.2–3.4) | 2.7 (2.0–3.5) |
SDAI | 9.2 (5.8–12.0) | 7.6 (2.5–10.0) |
J-HAQ | 0.4 (0–0.6) | 0.4 (0–0.8) |
JSSF RA scale | ||
General pain, 0–30 points | 20.0 (20.0–30.0) | 30.0 (30.0–30.0) ** |
Deformity, 0–25 points | 12.0 (10.0–17.5) | 21.5 (16.5–24.5) *** |
Motion, 0–15 points | 13.0 (13.0–15.0) | 13.0 (13.0–13.0) |
Walking ability, 0–20 points | 20.0 (20.0–20.0) | 20.0 (20.0–20.0) |
Activities of daily living, 0–10 points | 5.0 (3.0–7.0) | 6.0 (4.0–7.0) |
Total, 0–100 points | 70.0 (67.0–80.5) | 88.5 (85.0–91.0) *** |
HVA, degree | 32.5 (27.3–42.1) | 15.8 (12.2–19.5) *** |
M1/2, degree | 13.6 (11.6–15.9) | 9.7 (8.1–11.8) *** |
M1/5, degree | 35.8 (33.3–39.5) | 25.7 (21.8–27.8) *** |
(a). Maximum Peak Pressure | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
First IPJ | First MTPJ | Second MTPJ | Third MTPJ | Fourth MTPJ | Fifth MTPJ | Medial Midfoot | Lateral Midfoot | Hind-foot | ||
Pre-op (n = 26) | % (n) | 7.7 (2) | 23.1 (6) | 19.2 (5) | 23.1 (6) | 3.8 (1) | 3.8 (1) | 0 (0) | 0 (0) | 19.2 (5) |
Post-op (n = 26) | % (n) | 23.1 (6) | 34.6 (9) | 11.5 (3) | 11.5 (3) | 3.8 (1) | 0 (0) | 0 (0) | 7.7 (2) | 7.7 (2) |
(b). Minimum Peak Pressure | ||||||||||
First IPJ | First MTPJ | Second MTPJ | Third MTPJ | Fourth MTPJ | Fifth MTPJ | Medial Midfoot | Lateral Midfoot | Hind-foot | ||
Pre-op (n = 26) | % (n) | 3.8 (1) | 30.8 (8) | 0 (0) | 0 (0) | 0 (0) | 30.8 (8) | 26.9 (7) | 7.7 (2) | 0 (0) |
Post-op (n = 26) | % (n) | 11.5 (3) | 0 (0) | 0 (0) | 3.8 (1) | 0 (0) | 30.8 (8) | 46.2 (12) | 7.7 (2) | 0 (0) |
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Lee, H.; Ishikawa, H.; Shibuya, T.; Takai, C.; Nemoto, T.; Nomura, Y.; Abe, A.; Otani, H.; Ito, S.; Nakazono, K.; et al. The Combination of Modified Mitchell’s Osteotomy and Shortening Oblique Osteotomy for Patients with Rheumatoid Arthritis: An Analysis of Changes in Plantar Pressure Distribution. Int. J. Environ. Res. Public Health 2021, 18, 9948. https://doi.org/10.3390/ijerph18199948
Lee H, Ishikawa H, Shibuya T, Takai C, Nemoto T, Nomura Y, Abe A, Otani H, Ito S, Nakazono K, et al. The Combination of Modified Mitchell’s Osteotomy and Shortening Oblique Osteotomy for Patients with Rheumatoid Arthritis: An Analysis of Changes in Plantar Pressure Distribution. International Journal of Environmental Research and Public Health. 2021; 18(19):9948. https://doi.org/10.3390/ijerph18199948
Chicago/Turabian StyleLee, Hyunho, Hajime Ishikawa, Tatsuaki Shibuya, Chinatsu Takai, Tetsuya Nemoto, Yumi Nomura, Asami Abe, Hiroshi Otani, Satoshi Ito, Kiyoshi Nakazono, and et al. 2021. "The Combination of Modified Mitchell’s Osteotomy and Shortening Oblique Osteotomy for Patients with Rheumatoid Arthritis: An Analysis of Changes in Plantar Pressure Distribution" International Journal of Environmental Research and Public Health 18, no. 19: 9948. https://doi.org/10.3390/ijerph18199948