Metatarsophalangeal (MTP) joint deformities Reumatoid foot deformities Hoffman procedure MTP soft tissue- release Dutch: Metatarsophalangeaal (MTP) gewrichtsafwijkingen Reumavoet-afwijkingen Hoffman procedure MTP soft tissue- release
Conditions
Interventions
Two surgical procedures regarding the metatarsophalangeal joints in reumatic foot disorders:
1. Hoffman procedure
2. MTP- soft tissue release
Sponsors
Isala Clinics, Zwolle, The Netherlands
St Maartensclinic, Nijmegen, The Netherlands
Eligibility
Inclusion criteria
Inclusion criteria: Every patient suffering reumatoid arthritis, between 20 and 85 years old, with symptomatic MTP- deformities, as defined, with an indication for surgical intervention, not responding on conservative treatment during at least 6 months.
Exclusion criteria
Exclusion criteria: 1. Previous surigical intervention of toes 2. Infected bursae/ clavi 3. Active reumatoid arthritis 4. Simultaneous foot surgery; except for toe surgery 5. Specific comorbidity: insufficienty of arterial system, complex regional pain syndrome, diabetes mellitus, ongoing infection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| AOFAS-score (validated foot function score) | — |
Secondary
| Measure | Time frame |
|---|---|
| - Foot function index - SF-36 - Complications - VAS pain score - Mobility score - X-ray of foot | — |
Contacts
Public ContactJ.C.M. Schrier
Outcome results
None listed