{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T21:14:31Z","timestamp":1783545271827,"version":"3.55.0"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Surgical treatment for forefoot deformities in patients with rheumatoid arthritis has recently shifted toward joint-preserving procedures for all toes. In contrast, resection arthroplasty was previously more commonly performed for the lesser toes. Advances in drug therapy have improved life expectancy, resulting in an increased number of long-term survivors who had previously underwent resection arthroplasty. With increased activity levels, the recurrence of plantar callosities in the forefoot has become more frequent, often leading to gait disturbances. In general, revision surgery for such cases often involves additional bone resection; however, this approach may result in further shortening of the metatarsals and increase the risk of further recurrence. Therefore, we applied a metatarsal-shortening offset osteotomy, which we typically perform as a primary procedure, as a salvage procedure to reduce the risk of recurrence. We report three cases treated using this strategy. In all cases, the second to fifth metatarsal heads had been resected, but the resection stumps were covered with pseudo-cartilaginous tissue. This allowed a metatarsal-shortening offset osteotomy to be performed as a procedure similar to that used in primary surgery, achieving the planned correction. Consequently, both radiographic and clinical improvements were observed. These findings suggest that a metatarsal-shortening offset osteotomy may be a possible salvage option after primary resection arthroplasty for forefoot deformities in patients with rheumatoid arthritis.<\/jats:p>","DOI":"10.1093\/mrcr\/rxag047","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T11:21:28Z","timestamp":1782127288000},"source":"Crossref","is-referenced-by-count":0,"title":["Metatarsal-shortening offset osteotomy as salvage for painful plantar callosities following resection arthroplasty in patients with rheumatoid arthritis: A report of three cases"],"prefix":"10.1093","volume":"10","author":[{"given":"Atsushi","family":"Goshima","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka Rosai Hospital , Sakai ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9938-6780","authenticated-orcid":false,"given":"Takaaki","family":"Noguchi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Osaka Graduate School of Medicine\/Faculty of Medicine , Suita ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Etani","sequence":"additional","affiliation":[{"name":"Department of Sports Medical Biomechanics, The University of Osaka Graduate School of Medicine\/Faculty of Medicine , Suita ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideki","family":"Tsuboi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka Rosai Hospital , Sakai ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Kaito","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka Rosai Hospital , Sakai ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motoki","family":"Iwasaki","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka Rosai Hospital , Sakai ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Sugimoto","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Osaka Graduate School of Medicine\/Faculty of Medicine , Suita ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuji","family":"Fukuda","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Yukioka Hospital Osaka , Osaka ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seiji","family":"Okada","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Osaka Graduate School of Medicine\/Faculty of Medicine , Suita ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kosuke","family":"Ebina","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Osaka Graduate School of Medicine\/Faculty of Medicine , Suita ,","place":["Japan"]},{"name":"Department of Sports Medical Biomechanics, The University of Osaka Graduate School of Medicine\/Faculty of Medicine , Suita ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"2026070816233920400_ref1","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1053\/j.jfas.2013.09.014","article-title":"Midterm results of resection arthroplasty for forefoot deformities in patients with rheumatoid arthritis and the risk factors associated with patient dissatisfaction","volume":"53","author":"Matsumoto","year":"2014","journal-title":"J Foot Ankle Surg"},{"key":"2026070816233920400_ref2","doi-asserted-by":"crossref","first-page":"1475","DOI":"10.1007\/s10067-011-1780-8","article-title":"We should not forget the foot: relations between signs and symptoms, damage, and function in rheumatoid arthritis","volume":"30","author":"Baan","year":"2011","journal-title":"Clin Rheumatol"},{"key":"2026070816233920400_ref3","doi-asserted-by":"crossref","first-page":"322","DOI":"10.2106\/00004623-200003000-00004","article-title":"Rheumatoid forefoot reconstruction. A long-term follow-up study","volume":"82","author":"Coughlin","year":"2000","journal-title":"JBJS."},{"key":"2026070816233920400_ref4","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1177\/1071100719840814","article-title":"Forefoot reconstruction following metatarsal head resection arthroplasty with a plantar approach\u2014a 20-year follow-up","volume":"40","author":"Simon","year":"2019","journal-title":"Foot Ankle Int"},{"key":"2026070816233920400_ref5","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1053\/j.jfas.2005.12.005","article-title":"Metatarsal head resection in the rheumatoid foot: 5-year follow-up with and without resection of the first metatarsal head","volume":"45","author":"Hulse","year":"2006","journal-title":"J Foot Ankle Surg"},{"key":"2026070816233920400_ref6","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1302\/0301-620X.56B3.527","article-title":"A long-term follow-up of forefoot arthroplasty","volume":"56B","author":"Watson","year":"1974","journal-title":"J Bone Joint Surg Br"},{"key":"2026070816233920400_ref7","doi-asserted-by":"crossref","first-page":"2147","DOI":"10.1093\/rheumatology\/kead539","article-title":"Trends of disease activity in Japanese patients over 75 years with rheumatoid arthritis from 2014 to 2021: the ANSWER cohort study","volume":"63","author":"Yamada","year":"2024","journal-title":"Rheumatology (Oxford)"},{"key":"2026070816233920400_ref8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/14397595.2019.1660028","article-title":"A large observational cohort study of rheumatoid arthritis, IORRA: providing context for today\u2019s treatment options","volume":"30","author":"Yamanaka","year":"2020","journal-title":"Mod Rheumatol"},{"key":"2026070816233920400_ref9","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1080\/14397595.2016.1276512","article-title":"Outcomes of modified metatarsal shortening offset osteotomy for forefoot deformity in patients with rheumatoid arthritis: short to mid-term follow-up","volume":"27","author":"Hirao","year":"2017","journal-title":"Mod Rheumatol"},{"key":"2026070816233920400_ref10","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1177\/10711007241226898","article-title":"Outcomes of joint-preserving surgery for forefoot deformities in patients with rheumatoid arthritis","volume":"45","author":"Tominaga","year":"2024","journal-title":"Foot Ankle Int"},{"key":"2026070816233920400_ref11","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1136\/annrheumdis-2016-209562","article-title":"Improvement in five-year mortality in rheumatoid arthritis compared to the general population \u2013 closing the mortality gap","volume":"76","author":"Lacaille","year":"2017","journal-title":"Ann Rheum Dis"},{"key":"2026070816233920400_ref12","doi-asserted-by":"crossref","first-page":"110","DOI":"10.3109\/s10165-006-0551-x","article-title":"Replacement of the first metatarsophalangeal joint with a Swanson implant accompanied by open-wedge osteotomy of the first metatarsal bone for hallux valgus in rheumatoid arthritis","volume":"17","author":"Shi","year":"2007","journal-title":"Mod Rheumatol"},{"key":"2026070816233920400_ref13","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1093\/mrcr\/rxac079","article-title":"Modified scarf osteotomy with capsular interposition as salvage for resection or silicone implant arthroplasty in patients with rheumatoid arthritis. 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