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- W2334138595 abstract "<h3>Background</h3> In rheumatoid arthritis (RA) patients, (1) hallux MTP-joint arthroplasty (Swanson implant)+2<sup>nd</sup>-5<sup>th</sup> toes metatarsal head resection arthroplasty and (2) hallux Scarf osteotomy+2-5<sup>th</sup> toes metatarsal shortening osteotomy are both standard methods. <h3>Objectives</h3> The objective of this study is to investigate the unknown difference of operation (1) and (2) on plantar pressure distribution during walking. <h3>Methods</h3> 3-feet of healthy volunteer (3 male / age 44.7y / body mass index [BMI] 20.2kg/m<sup>2</sup>), 12 feet of RA patients with operation (1) (3 male 9 female / age 62.4y / postoperation duration 6.8y / standing leg-heel angle [S-LHA]1.3° / BMI 20.8kg/m<sup>2</sup>), and 13 feet of RA patients with operation (2) (13 female / age 62.0y / postoperation duration 3.9y / S-LHA 0.5° / BMI 20.4kg/m<sup>2</sup>) were enrolled. Average plantar pressure during walking through 2<sup>nd</sup> to 6<sup>th</sup> steps was assessed by F-SCANⅡ® (Tekscan Inc.). <h3>Results</h3> There was no significant difference in age, postoperation duration, S-LHA, and BMI between group (1) and (2). Plantar pressure distribution of hallux MTP-joints was 13.1% in healthy volunteer / operation (1) 7.0% / operation (2) 10.6%, and was significantly small in operation (1) compared to healthy volunteer (P<0.001) and to operation (2) (P<0.01). On the other hand, Plantar pressure distribution of 2<sup>nd</sup>-5<sup>th</sup> toes MTP-joints was 19.2% in healthy volunteer / operation (1) 20.4% / operation (2) 12.4%, and was significantly small in operation (2) compared to healthy volunteer and to operation (1) (P<0.01). <h3>Image/graph</h3> <h3>Conclusions</h3> Swanson implant arthroplasty of hallux MTP-joints may decrease plantar pressure distribution of MTP-joints compared to hallux Scarf osteotomy, and 2-5<sup>th</sup> toes metatarsal head resection arthroplasty may increase plantar pressure distribution of MTP-joints compared to 2-5<sup>th</sup> toes metatarsal shortening osteotomy. <h3>Disclosure of Interest</h3> None Declared" @default.
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- W2334138595 date "2013-06-01" @default.
- W2334138595 modified "2023-10-12" @default.
- W2334138595 title "SAT0495 Assessment of Plantar Pressure Distribution During Walking after Forefoot Surgery in Patients with Rheumatoid Arthritis" @default.
- W2334138595 doi "https://doi.org/10.1136/annrheumdis-2013-eular.2219" @default.
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