Description
The presentation focuses on rheumatoid foot disease, highlighting surgical principles for a new generation of patients who are better managed regarding pain and deformities. Hari Prem discusses the etiology, emphasizing the mechanical aspects of foot damage rather than inflammation alone. Key points include understanding the sources of pain, the importance of a multidisciplinary approach, and the necessity of preserving metatarsal heads during surgery. Surgical methods must adapt to the characteristics of rheumatoid patients, who often have milder symptoms and higher functional expectations. The presentation concludes with vital surgical insights, including the necessity for careful patient education on the limitations of surgical outcomes and the importance of mechanical management in addressing foot deformities.
DOI: 10.1302/3114-221471