title: Comparison of a self-administered foot evaluation questionnaire (SAFE-Q) between joint-preserving arthroplasty and resection-replacement arthroplasty in forefoot surgery for patients with rheumatoid arthritis.
abstract: OBJECTIVE
  To clarify the difference of patient-based outcome between joint-preserving arthroplasty and resection-replacement arthroplasty in forefoot surgery for patients with rheumatoid arthritis (RA).
  
  
  METHODS
  A total of 63 feet of 49 RA patients who underwent forefoot surgery were asked to answer pre-operative and post-operative self-administered foot evaluation questionnaire (SAFE-Q). Patients were treated with either (1) metatarsal head resection-replacement arthroplasty (28 feet, post-operative mean age 63.8 years, follow-up 4.2 years, DAS28-CRP 2.2) or (2) metatarsophalangeal joint-preserving arthroplasty (35 feet, post-operative mean age 63.1 years, follow-up 3.6 years, DAS28-CRP 2.1) at each surgeon's discretion.
  
  
  RESULTS
  Mean pre-operative and post-operative subscale scores of SAFE-Q of group (1) and (2) were as follows. Pain and pain-related [(1) pre-op 36.8 to post-op 75.0 vs. (2) pre-op 42.2 to post-op 82.6], physical functioning and daily-living [(1) 43.2-68.8 vs. (2) 52.778.1], social functioning [(1) 44.3-72.0 vs. (2) 52.5-81.9], general health and well-being [(1) 48.4-68.4 vs. (2) 45.5-84.4], and shoe-related [(1) 30.1-50.3 vs. (2) 30.6-64.4]. Both general health and well-being subscale scores (p < 0.05) and shoe-related subscale scores (p < 0.05) were significantly more improved in group (2) compared with group (1).
  
  
  CONCLUSIONS
  Joint-preserving arthroplasty resulted in better patient-based outcomes than resection-replacement arthroplasty.
authors.affiliation: a Department of Orthopaedic Surgery , Osaka University Graduate School of Medicine , Suita , Japan.
authors.forename: Kosuke
authors.initials: K
authors.lastname: Ebina
authors.affiliation: a Department of Orthopaedic Surgery , Osaka University Graduate School of Medicine , Suita , Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Hirao
authors.affiliation: b Department of Rheumatology , National Hospital Organization, Osaka-Minami Medical Center , Kawachinagano-shi , Japan.
authors.forename: Jun
authors.initials: J
authors.lastname: Hashimoto
authors.affiliation: c Department of Orthopaedic Surgery , National Hospital Organization, Osaka-Minami Medical Center , Kawachinagano-shi , Japan.
authors.forename: Akihide
authors.initials: A
authors.lastname: Nampei
authors.affiliation: d Department of Rheumatology , Yukioka Hospital , Osaka , Japan.
authors.forename: Kenrin
authors.initials: K
authors.lastname: Shi
authors.affiliation: e Department of Orthopaedic Biomaterial Science , Osaka University Graduate School of Medicine , Suita , Japan , and.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Tomita
authors.affiliation: a Department of Orthopaedic Surgery , Osaka University Graduate School of Medicine , Suita , Japan.
authors.forename: Kazuma
authors.initials: K
authors.lastname: Futai
authors.affiliation: f Department of Orthopaedic Surgery , Japan Community Healthcare Organization, Hoshigaoka Medical Center , Hirakata , Japan.
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Kunugiza
authors.affiliation: a Department of Orthopaedic Surgery , Osaka University Graduate School of Medicine , Suita , Japan.
authors.forename: Takaaki
authors.initials: T
authors.lastname: Noguchi
authors.affiliation: a Department of Orthopaedic Surgery , Osaka University Graduate School of Medicine , Suita , Japan.
authors.forename: Hideki
authors.initials: H
authors.lastname: Yoshikawa
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000175:diagnosis / Q000523:psychology / Q000601:surgery; D001178:Arthroplasty / Q000009:adverse effects / Q000379:methods / Q000534:rehabilitation; D059026:Diagnostic Self Evaluation; D005260:Female; D005545:Forefoot, Human / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007398:Interpersonal Relations; D007564:Japan; D008297:Male; D008683:Metatarsophalangeal Joint / Q000503:physiopathology / Q000601:surgery; D008875:Middle Aged; D063868:Patient Outcome Assessment; D059035:Perioperative Period / Q000379:methods / Q000523:psychology; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Joint-preserving arthroplasty; Patient-based outcome; Resection-replacement arthroplasty; Rheumatoid arthritis; SAFE-Q