著者・編者Sawachika, Fusakazu
Uemura, Hirokazu
Katsuura-Kamano, Sakurako
Yamaguchi, Miwa
Bahari, Tirani
Miki, Keisuke
Todo, Satoshi
Inoo, Masayuki
Onishi, Ikuko
Kurata, Noriyuki
Arisawa, Kokichi
並列タイトル等関節リウマチ患者における前足部の切除関節形成術後の足部機能、疾患活動性および能力低下の変化
Changes after forefoot surgery in RA
タイトル(掲載誌)The Journal of Medical Investigation
一般注記The purpose of this study was to investigate the changes in foot function, disease activity, and disability in patients with RA after resection arthroplasty of the forefoot (arthroplasty). Arthroplasty was performed on 11 patients with RA. All study patients underwent clinical assessment to measure disease activity (Disease Activity Score in 28 Joints-C-reactive protein, DAS28-CRP), disability (Health Assessment Questionnaire- Disability Index, HAQ-DI) and foot function (Foot Function Index, FFI) at the following stages : preoperatively and 1, 3, and 12 months after surgery. Following arthroplasty, foot function improved significantly, as assessed by FFI total and subscales (pain, disability, and limitation of activity) (P<0.001, P <0.001, P<0.001, and P=0.002, respectively). Disease activity was significantly improved in relation to DAS28-CRP and its subscales of number of swollen joints and patient global assessment (PtGA) (P=0.033, P=0.008, and P=0.038, respectively). There was no significant difference in disability, as assessed by the HAQ-DI and its subscale, HAQ-walking (P=0.150 and P=0.597, respectively). Foot function improved significantly after arthroplasty, and was maintained at 12 months postoperatively. Additionally, our study showed that disease activity and its subscale PtGA improved after arthroplasty.
DOIinfo:doi/10.2152/jmi.63.38
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