Foot and ankle in rheumatoid arthritis
springer
Paris Berlin Heidelberg New York Hong Kong Londres Milan
Tokyo
Maurice Bouysset, Yves Tourne and Karl Tillmann
Foot and ankle
in rheumatoid arthritis
Springer
Maurice Bouysset 126, rue Philippe-Heron 69400 Villefranche-sur-Saone France
Yves Tourne
Groupe Chirurgical Republique 15, rue de la Republique
38000 Grenoble France
Karl TUlmann
Arzt-fur Orthopaedic Rheumaklinik 24572 Bad Bramstedt Hoist.
Germany
lSBN-10: 2-287-59757-3 Springer Paris Berlin Heidelberg New York ISBN-13: 9/ S-2-287-59757-2 Springer Paris Berlin Heidelberg New York
© Springer Verlag France, 2006 Printed in France
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SPIN: 10864155
Cover Design: Nadia OUDDANE
List of authors
Dr Bonnin Michel Dr Bouysset Maurice DrCaroW.
Dr Colombier Jean-Alain
Dr Crevoisier Xavier
PrFinkB.
Dr Gintz Bruno Pr Grifka Joachim
Dr Guaydier-Souquieres Gennevieve
DrHeersG.
Clinique Sainte-Anne-Lumiere,
85, cours Albert-Thomas, 69003 Lyon (France) 126, rue Philippe-Heron,
69400 Villefranche-sur-Saone (France) Universitatsklinik Regensburg,
im BRK Rheuma-Zentrum Kaiser-Karl V - allee 3, 93077 Bad Abbach (Germany)
Clinique de I'Union Boulevard Ratalens 31240 Saint-Jean (France) FMH chirurgie orthopedique,
hopital orthopedique de la Suisse romande, Pierre-Decker 4,1005 Lausanne (Switzerland) Klinik und Polichlinik fur Orthopadie, Universitat Hazmburg-Eppendorf
Martinistr. 52, D-20246 Hamburg (Germany) CHU Albert-Michallon, BP 217,
38043 Grenoble Cedex 09 (France)
Orthopadische Universitatsklinik Regensburg, im BRK Rheuma-Zentrum Kaiser-Karl V -Allee 3, 93077 Bad Abbach (Germany)
Centre hospitaller universitaire de Caen 14033 Caen Cedex (France)
Orthopadische Universitatsklinik Regensburg, im BRK Rheuma-Zentrum Kaiser-Karl V - Allee 3, 93077 Bad Abbach (Germany)
VI Foot and ankle in rheumatoid arthritis Dr Hugueny Pascale
Drjalbyjocelyne Dr Judet Thierry
DrKoeckRX.
PrKofoedHakon Dr Lapeyre Fran^oise
Dr Leemrijse Thibaut
Pr Miossec Pierre
Dr Noel Eric
PrSouterW.A.
Dr Siguier Thierry
Dr Tavernier Thierry Pr Tebib Jacques Dr Thabe Heiner PrTiUmannKarl Dr Tourne Yves
Dr Valtin Bernard
126, rue Philippe Heron
69400 Villefranche-sur-Saone (France) 126, rue Philippe-Heron,
69400 Villefranche-sur-Saone (France) Hopital Tenon
4, rue de la Chine 75020 Paris (France)
Orthopadische Universitatsklinik Regensburg, im BRK Rheuma-Zentrum Kaiser-Karl V - Allee 3, 93077 Bad Abbach (Germany)
30 Norasvej DK 2920, Charlottenlund (Denmark) Centre de grand appareillage, 53, rue de Crequi, 69006 Lyon (France)
Cliniques Universitaires Saint-Luc Avenue Hippocrate, 10
1200 Bruxelles (Belgium)
Hopital Edouard-Herriot, pavilion F,
Service de rhumatologie et de pathologic osseuse 5, place d'Arsonval, 69437 Lyon Cedex 03 (France) Clinique Sainte-Anne Lumiere
85, cours Albert Thomas 69003 Lyon (France) Surgical Arthritis Unit,
Princess Margaret Rose Orthopaedic Hospital, Edinburgh (Grait Britain)
Clinique Jouvenet 6, square Jouvenet 75016 Paris (France)
Clinique de la Sauvegarde, av. Ben-Gourion, service de radiologic, 69009 Lyon (France) Centre hospitaller Lyon-Sud, service de rhumatologie, 69310 Pierre-Benite (France) Diakonie-Anstalten Ringstrasse 58-60, D 55 543 Bad Kreuznach (Germany) Arzt fur Orthopaedic Rheumaklinik, 24572 Bad Bramstedt Hoist (Germany) Groupe Chirurgical Republique 15, rue de la Republique 38000 Grenoble (France) Clinique des Lilas CEPIM, 41-49, avenue du Marechal-Juin, 93260 Les Lilas (France)
Aknowledgemen ts
With specific aknowledgements to professor J. Tebib without his help this book would not have been possible.
And for their help a special gratitude to doctor Michel Bonnin, who read several translations of surgical chapter, and Corinne Gauthier, the secretary of the book.
The following people are ash thanked for their direct or indirect participation in the making of this book: Veronique Belin, Jean-Luc Besse, Maurice Bouvier, Jean-Frangois Brantus, Roland Chapardy Jeanne Charrin, Frederic Colson, Nina Crowte, P.-D. Delmas, Laurence Denoual,
Stephanie van Duin, Jean-Pierre Duivon, Roger Elkaim, Joachim Grifka, Sophie Guillemot, Pascale Hugueny, Nathalie Huilleret, Jocelyne Jalby, Catherine Jolly, Jean-Paul Larbre, Patrick Lavault, Guy Lorca, P.-J. Meunier, Pierre Miossec, Chantal Nemoz, Eric Noel, Annie-Claude Ortiz, Jean-Claude Vianey, Eric Vignon.
Foreword
One of the earliest signs of rheumatoid arthritis may be pain in the foot. However, this part of the body is very often neglected during clinical assessment of the illness in favour of the articulations of the upper limbs, knees and hips.
Nevertheless, it appears evident that a detailed clinical examination of the forefoot, ankle and heel could be useful in order to get closer to a rheumatological diagnosis.
Thanks to blood tests and conventional imaging, completed with a scanner or MRI if needed, every doctor should be in a position to detect the beginning of rheumatoid arthritis in the foot or ankle.
As well as its diagnostic contribution, this book broaches the theme of the most recent medicinal treatments, that of orthoses, made-to-measure shoes (the prescription of which practitioners and the rheumatologists often hand over to the orthopaedic surgeons), and finally that of local injections. These elements constitute the main treatment of the rheumatoid foot.
Taking care of the ill subject does not necessarily stop there and a surgeon may need to operate on the forefoot, which is more common, or on the mid-foot or the ankle.
One of the strong points of this book is that a large part of it covers the diverse surgical possibilities that are now available. These measures need to be carefully thought about beforehand with regards to their usefulness for each patient, if possible with an exchange between rheumatologists and orthopaedists. The complementary nature of the surgical and conservative clinical approach appears clearly in the structure of this book.
The credit of this book is due to A.M. Bouysset, Y. Tourne and K. Tillmann. With the
« Pied en rhumatologie » published in 1998 and « Pathologie osteo-articulaire du pied et de la cheville » published in 2000, Maurice Bouysset has already given us a foretaste of the perfection he achieves in the books he inspires and whose publications he directs.
Pr Jean-Charles Gerster CHUVaudois Hopital Nestle Avenue Pierre Decker 5 CH 1010 Lausanne
Switzerland
Preface
We all have a great and ever increasing interest in the international efforts of describing, understanding and solving foot and ankle problems. More and more orthopaedic surgeons are going to specialize in the treatment of disorders of the foot. The European Foot and Ankle Society - EFAS, aiming to promote the development of foot and ankle surgery and to advance education, study and research in this speciality observes a popular interest and demand for instructional courses and for specialized literature.
It is essential to collect the experience and the expertise of more than one specialist to provide a substantial contribution to a subject. This book is certain to be a substantial contribution. Twenty percent of rheumatoid arthritis starts in the foot and ankle area. Not only specialists should know the pathomechanism and the spectrum of the conservative and operative treatment but also master later stages and to be able to soothe the suffering.
It is not an easy task to write comprehensible texts for all levels of rheumatologists, foot surgeons and professional groups engaged in foot treatment. In my view, all participating authors of this book have done just that, respecting the multiple layers of this chronic inflammatory disease. They share their great experience and their knowledge, respecting biomechanical features, giving a clear description of the current state of the art concerning operative treatment and conservative therapeutic and aftercare measures. Specialists and editors have succeeded in composing a unique textbook, reflecting the high level of the authors' experience. All fundamental information is well illustrated and arranged in a enjoyable didactical way.
Rheumatologists such as Maurice Bouysset and orthopaedists such as Yves Tourne and Karl Tillmann as editors and most of the participating authors of this are highly experienced in the treatment of inflammatory and post-inflammatory residual disorders of the human joints, and it was them who set the pace in many directions of research and development concerning the foot. This book provides us with an insight to the European rheumatologists' skills, being an enrichment for everybody's library.
Pr Hans Heino Kuster Professor of orthopaedic surgery Director orthopaedic Department Sankt-Ehsabeth Hospital Stadtring Kattensroth 130 33332 Glitersloh-Germany
Contents
List of authors V Acknowledgements VII
Foreword VIII Preface IX Diagnosis of rheumatoid arthritis at an early stage 1
P. Miossec and J. Tebib
The rheumatoid foot. Pathomechanics, clinical and radiological features.
Therapeutic conditions. 9 M. Bouysset and P. Hugueny
Some reflections on pathomechanics of the rheumatoid
foot andankle 49 X. Crevoisier
CT and MRI in rheumatoid arthritis
(midfoot, hindfoot and ankle) 73 Th. Tavernier
Management of the patient with rheumatoid arthritis 97 J.-G. Tebib and P. Miossec
Footwear for the rheumatoid foot andankle I l l M.Bouysset, P. Hugueny, G. Guaydier-Souquieres and E Lapeyre
Corticosteroid injections and synoviortheses of the foot and
anlde in rheumatoid arthritis 123 M. Bouysset, P. Hugueny, B. Gintz, J. Jalby and J. Tebib
Forefoot surgery for rheumatoid arthritis 131 Y. Tourne
Hindfoot surgery for rheumatoid arthritis. 149 B. Valtin and Th. Leemrijse
XII Contents
Points of view about synovectomy of the ankle joint in
rheumatoid arthritis 169 H.Thabe
Total ankle replacement. History, evolution of concepts,
designs and surgical technique 179 M. Bonnin, T. Judet, T. Siguier and J.A. Colombier
Some reflections about the evolution of ankle prosthesis 201 H.Kofoed
Total ankle replacement in rheumatoid arthritis:
treatment strategy. 207 M. Bonnin, M. Bouysset, J. Tebib and E. Noel
Respective indications of talo-crural arthrodesis and ankle
prosthesis with different situations in rheumatoid arthritis 221 K. Tillmann and B. Fink
Surgical strategy in surgery of the lower limb in rheumatoid
arthritis 229 W. A. Souter
Surgery of the foot and ankle in patients with rheumatoid
arthritis: some reflections 237 R X. Koeck, G. Heers, W. Caro and J. Grifka
