Pan Metatarsal Head Resection for Rheumatoid Arthritis
This is an example of a procedure which is performed in severe deformities and complications of the forefoot. In Rheumatoid patients, the fibular deviation and dorsal subluxation of the digits is noted. The modification demonstrated here, is a Keller arthroplasty of the 1st metatarsal-phalangeal joint (MTPJ). By performing these osteotomies to all the MTPJs in the forefoot, an increase in the range of motion is observed post operatively.