Rheumatoid Foot (BOFAS Revalidation) - Discussion

Description

This transcript captures a discussion among medical professionals focusing on the treatment of rheumatoid arthritis and osteoporosis, particularly pertaining to surgical approaches and the use of implants. The dialogue starts with a question about the inclination to use stemmed tibial components in cases of osteoporotic patients. Heath Taylor shares his current practice of using PROPHECY technology and acknowledges some concerns with bone quality but hesitates to adopt stemmed components universally. The conversation subsequently expands to the challenges in managing complex forefoot issues in rheumatoid patients, where differing opinions emerge about the necessity of preserving lesser metatarsal heads in the context of surgery.



Howard Davies provides insight into preserving joint geometry despite destruction, and he advocates for techniques like debulking to alleviate pain while maintaining bone where possible. The discussion touches on the risks of removing metatarsal heads, emphasizing the importance of not creating lasting deformities. Hari Prem adds a perspective on toe amputations being acceptable in certain scenarios, noting that patient satisfaction can be achieved with such interventions.



The conversation concludes with the audience expressing gratitude, alongside a brief mention of the relevance of strain speed in treatment, showcasing the variety of opinions on the matter, including the limitations in their training and practices. The tone throughout is professional, exploratory, and appreciative of the shared knowledge and experiences.

DOI: 10.1302/3114-221474

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