Reverse V-shaped osteotomy for ankylosing rocker-bottom foot deformity in patients with rheumatoid arthritis. A report of 3 cases

Takaaki Noguchi; Makoto Hirao; Kosuke Ebina; Yuki Etani; Gensuke Okamura; Hideki Tsuboi; Atsushi Goshima; Seiji Okada; Jun Hashimoto

doi:10.1093/mrcr/rxae005

Reverse V-shaped osteotomy for ankylosing rocker-bottom foot deformity in patients with rheumatoid arthritis. A report of 3 cases

Mod Rheumatol Case Rep. 2024 Jan 22:rxae005. doi: 10.1093/mrcr/rxae005. Online ahead of print.

Authors

Takaaki Noguchi¹, Makoto Hirao², Kosuke Ebina¹, Yuki Etani³, Gensuke Okamura², Hideki Tsuboi⁴, Atsushi Goshima⁴, Seiji Okada¹, Jun Hashimoto²

Affiliations

¹ Department of Orthopaedic Surgery, Osaka University, Graduate School of Medicine, Suita, Osaka, Japan.
² Department of Orthopaedic Surgery, Osaka Minami Medical Center, Kawachinagano, Osaka, Japan.
³ Department of Musculoskeletal Regenerative Medicine, Osaka University, Graduate School of Medicine, Suita, Osaka, Japan.
⁴ Department of Orthopaedic Surgery, Osaka Rosai Hospital, Sakai, Osaka Japan.

PMID: 38252703
DOI: 10.1093/mrcr/rxae005

Abstract

This study evaluated reverse V-shaped osteotomy for ankylosing rocker-bottom foot deformity in patients with rheumatoid arthritis. We experienced 3 feet: rheumatoid rocker-bottom deformities with painful and/or infectious bony prominence towards the bottom of the foot, treated with a reverse V-shaped osteotomy in the mid-hindfoot. In all three cases, significant correction was achieved with restoration of the medial longitudinal arch, and improvement in clinical scores was confirmed. Reverse V-shaped osteotomy has the potential to be a useful and definitive procedure for ankylosing rocker-bottom deformity in patients with rheumatoid arthritis.

Keywords: ankylosing pes planus; ankylosing rocker-bottom foot deformity; reverse V-shaped osteotomy; rheumatoid arthritis (RA).