Five patients with long-standing rheumatoid arthritis underwent transmetatarsal amputation. Operative indications were severe pain on walking, marked deformity of the forefoot, and no effect of conservative treatment. After a median follow-up time of 7 (1-12) years, 4 patients had no pain, all patients could wear normal shoes, and the gait was significantly improved without imbalance.
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Andersen et al. (1987) studied this question.
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