Long-term Follow-up of the Green-Watermann Osteotomy for Hallux Limitus

2002 ◽  
Vol 92 (10) ◽  
pp. 543-554 ◽  
Author(s):  
Jason B. Dickerson ◽  
Richard Green ◽  
Donald R. Green
Keyword(s):  
Clinical Evaluation ◽  
Average Length ◽  
Metatarsophalangeal Joint ◽  
First Metatarsophalangeal Joint ◽  
Hallux Limitus ◽  
Before And After ◽  
Chief Complaints ◽  
Long Term Follow Up

The authors undertook a retrospective analysis of the long-term efficacy of the Green-Watermann procedure for the treatment of painful hallux limitus or rigidus. Questionnaires were sent to 80 consecutive patients who had such procedures performed between 1990 and 1999. Medical records and radiographs were reviewed for the 32 patients who completed the questionnaires, representing 40 Green-Watermann procedures. Twenty-four patients were able to return for clinical evaluation. The average length of follow-up was 4 years (range, 1 to 10 years). The questionnaires addressed pain before and after surgery, function after surgery, complications, and overall impression and satisfaction. Nearly all of the patients (30 of 32; 94%) reported that surgery had significantly relieved their hallux joint pain, and a slightly smaller proportion (28 of 32; 88%) felt that their chief complaints were at least 70% improved. Clinical evaluation revealed adequate range of motion at the first metatarsophalangeal joint. It is concluded that the Green-Watermann procedure is an effective treatment approach for hallux limitus and rigidus, resulting in a significant reduction in pain, an increase in function, and a high degree of patient satisfaction. (J Am Podiatr Med Assoc 92(10): 543-554, 2002)

Cone Arthrodesis of the First Metatarsophalangeal Joint

Foot & Ankle ◽  
1984 ◽  
Vol 4 (5) ◽  
pp. 244-248 ◽  
Author(s):  
J. E. Johansson ◽  
T. W. Barrington
Keyword(s):  
Average Length ◽  
Metatarsophalangeal Joint ◽  
Valgus Deformity ◽  
Hallux Rigidus ◽  
Long Term Results ◽  
First Metatarsophalangeal Joint ◽  
Hallux Valgus Deformity ◽  
Metatarsophalangeal Joints

The reliability and effectiveness of the treatment of hallux rigidus and sympomatic arthritis of the first metatarsophalangeal joint by the technique of cone arthrodesis are discussed. The authors reviewed the long-term results of cone arthrodesis in 51 patients with 60 operated feet. The average age was 55 years (range, 28 to 75 years) and the average length of follow-up was 39 months (range, 1 to 12 years). On questioning the patients regarding function, cosmesis, and pain, 41 of 51 patients were happy, eight of 51 patients were satisfied, and two of 51 were unhappy with their feet. No patient complained of persistent or recurrent hallux valgus deformity. Radiologically and clinically 58 of 60 first metatarsophalangeal joints were solidly fused. Two patients had a fibrous ankylosis which was functional and painless. Function with respect to gait and ability to walk on tiptoe and run was normal in all patients. In summary, the authors feel that this procedure is a reliable, effective treatment of painful arthritis of this joint.

Neuropathic foot ulcer prevention in diabetic American Indians with hallux limitus

1989 ◽  
Vol 79 (9) ◽  
pp. 447-450 ◽  
Author(s):  
E Dannels
Keyword(s):  
American Indians ◽  
Average Length ◽  
Wound Care ◽  
Medical Center ◽  
Foot Ulcer ◽  
Metatarsophalangeal Joint ◽  
First Metatarsophalangeal Joint ◽  
Hallux Limitus ◽  
Neuropathic Foot

Infected neuropathic ulcerations are the leading cause of diabetes-related partial foot amputations at the Phoenix Indian Medical Center. Ten hallucal ulcerations in seven American Indian patients with hallux limitus were resolved by local wound care and partial first metatarsophalangeal joint resection. The average length of postsurgical follow-up care was 28.8 months. There have been no recurrences of the plantar hallux ulcerations in any of the patients.

Long-term follow-up of silastic joint replacement of the first metatarsophalangeal joint

The Foot ◽  
2003 ◽  
Vol 13 (3) ◽  
pp. 151-155 ◽  
Author(s):  
R Bommireddy ◽  
S.K Singh ◽  
P Sharma ◽  
M El Kadafi ◽  
D Rajan ◽  
...  
Keyword(s):  
Joint Replacement ◽  
Metatarsophalangeal Joint ◽  
First Metatarsophalangeal Joint ◽  
Long Term Follow Up

Management of Hallux Limitus with Distraction of the First Metatarsophalangeal Joint

2005 ◽  
Vol 95 (2) ◽  
pp. 121-129 ◽  
Author(s):  
Leonard M. Talarico ◽  
George R. Vito ◽  
Larry Goldstein ◽  
Adam D. Perler
Keyword(s):  
External Fixator ◽  
Metatarsophalangeal Joint ◽  
Hallux Rigidus ◽  
Long Term Results ◽  
Joint Function ◽  
First Metatarsophalangeal Joint ◽  
Hallux Limitus

This article describes a joint-preserving and joint-restoring procedure for the management of hallux limitus and hallux rigidus. The procedure uses a minirail external fixator to obtain distraction with or without arthrotomy of the first metatarsophalangeal joint. This procedure aims to restore joint function through elimination of the pathologic forces involved in hallux limitus and hallux rigidus. Both intrinsic and extrinsic muscular imbalances are reduced. Follow-up of 133 patients treated in this manner since 1997 demonstrates excellent long-term results. (J Am Podiatr Med Assoc 95(2): 121–129, 2005)

Long-term follow-up of Keller arthroplasty with irradiated costochondral implants

1998 ◽  
Vol 88 (1) ◽  
pp. 1-11 ◽  
Author(s):  
JT Harlan ◽  
FD Goldman
Keyword(s):  
Metatarsophalangeal Joint ◽  
Degenerative Disease ◽  
First Metatarsophalangeal Joint ◽  
Reasonable Alternative ◽  
Long Term Follow Up ◽  
Graft Implantation

The authors present results of long-term follow-up of seven patients whose degenerative disease of the first metatarsophalangeal joint was treated with irradiated chondral graft implantation arthroplasty. In appropriate candidates, this procedure is a reasonable alternative to Keller arthroplasty alone, arthrodesis, and nonbiologic implant arthroplasty.

ANAPHYLACTOID PURPURA (SCHÖNLEIN-HENOCH SYNDROME)

PEDIATRICS ◽  
1955 ◽  
Vol 16 (2) ◽  
pp. 196-206
Author(s):  
Ralph J. P. Wedgwood ◽  
Marshall H. Klaus
Keyword(s):  
Renal Disease ◽  
Acute Phase ◽  
Chronic Renal Disease ◽  
Average Length ◽  
Adult Patients ◽  
Follow Up Study ◽  
Long Term Follow Up

A long-term follow-up study of 26 children with anaphylactoid purpura (Schönlein-Henoch Syndrome) is presented. The average length of follow-up was 4½ years. Of these 26 children, 10 were found to have an apparent latent nephritis characterized by hematuria and cylinduria, but without marked proteinuria. Nine of the ten children were over the age of 6 years at the time of onset of purpura; 6 had proteinuria or hematuria during the acute phase of the disease. It is suggested that this renal sequela of anaphylactoid purpura may constitute one of the origins of chronic renal disease "of unknown etoiology" which occurs in adult patients.

Maximum Bite Force of Edentulous Patients before and after Dental Implant Rehabilitation: Long-Term Follow-Up and Facial Type Influence

2016 ◽  
Vol 27 (6) ◽  
pp. 523-527 ◽  
Author(s):  
Ana Cláudia M. Melo ◽  
Ingrid M. Ledra ◽  
Rogéria A. Vieira ◽  
Edivaldo R. Coró ◽  
Ivete Aparecida de M. Sartori
Keyword(s):  
Dental Implant ◽  
Bite Force ◽  
Before And After ◽  
Long Term Follow Up ◽  
Edentulous Patients ◽  
Facial Type

Clinical Evaluation and Long-Term Follow-up in 16 Patients with Pseudotumour Cerebri

1990 ◽  
pp. 369-371
Author(s):  
C. Arienta ◽  
M. Caroli ◽  
S. Balbi ◽  
A. Parma ◽  
E. Calappi ◽  
...  
Keyword(s):  
Clinical Evaluation ◽  
Pseudotumour Cerebri ◽  
Long Term Follow Up

scholarly journals Does immunological remission, defined as disappearance of autoantibodies, occur with current treatment strategies? A long-term follow-up study in rheumatoid arthritis patients who achieved sustained DMARD-free status

2019 ◽  
Vol 78 (11) ◽  
pp. 1497-1504 ◽  
Author(s):  
Debbie M Boeters ◽  
Leonie E Burgers ◽  
René EM Toes ◽  
Annette van der Helm-van Mil
Keyword(s):  
Rheumatoid Arthritis ◽  
Treatment Strategies ◽  
Signs And Symptoms ◽  
Current Treatment ◽  
Dmard Therapy ◽  
Before And After ◽  
Long Term Follow Up ◽  
Free Status

ObjectivesSustained disease-modifying antirheumatic drug (DMARD)-free status, the sustained absence of synovitis after cessation of DMARD therapy, is infrequent in autoantibody-positive rheumatoid arthritis (RA), but approximates cure (ie, disappearance of signs and symptoms). It was recently suggested that immunological remission, defined as disappearance of anti-citrullinated protein antibodies (ACPA) and rheumatoid factor (RF), underlies this outcome. Therefore, this long-term observational study determined if autoantibodies disappear in RA patients who achieved sustained DMARD-free remission.MethodsWe studied 95 ACPA-positive and/or RF-positive RA patients who achieved DMARD-free remission after median 4.8 years and kept this status for the remaining follow-up (median 4.2 years). Additionally, 21 autoantibody-positive RA patients with a late flare, defined as recurrence of clinical synovitis after a DMARD-free status of ≥1 year, and 45 autoantibody-positive RA patients who were unable to stop DMARD therapy (during median 10 years) were studied. Anti-cyclic citrullinated peptide 2 (anti-CCP2) IgG, IgM and RF IgM levels were measured in 587 samples obtained at diagnosis, before and after achieving DMARD-free remission.Results13% of anti-CCP2 IgG-positive RA patients had seroreverted when achieving remission. In RA patients with a flare and persistent disease this was 8% and 6%, respectively (p=0.63). For anti-CCP2 IgM and RF IgM, similar results were observed. Evaluating the estimated slope of serially measured levels revealed that RF levels decreased more in patients with than without remission (p<0.001); the course of anti-CCP2 levels was not different (p=0.66).ConclusionsSustained DMARD-free status in autoantibody-positive RA was not paralleled by an increased frequency of reversion to autoantibody negativity. This form of immunological remission may therefore not be a treatment target in patients with classified RA.

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