{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T04:40:00Z","timestamp":1777610400012,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[1981,5,1]],"date-time":"1981-05-01T00:00:00Z","timestamp":357523200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foot &amp; Ankle"],"published-print":{"date-parts":[[1981,5]]},"abstract":"<jats:p>In 1970, A. F. Dwyer described an operation for severe toe deformities with the objectives of creating a more stable foot and improving toe function, in addition to relieving pain. This was achieved by fusing the metatar-sophalangeal joint of the hallux and the proximal interphalangeal joints of the lateral four toes. The metatarsal heads of the second, third, fourth, and fifth rays were then resected with their respective extensor tendons interposed so as to provide a tenodesis effect.<\/jats:p>\n                  <jats:p>Our study presented in this paper consists of 36 consecutive procedures performed on 22 rheumatoid patients.<\/jats:p>\n                  <jats:p>Follow-up of 33 operations in the 20 patients who were available for recall averaged 42.2 months. Assessment emphasized a subjective report including patient satisfaction, relief of pain, ability to fit shoes, cosmetic result, and walking ability. Objective examination was used to evaluate the presence of a successful arthrodesis of the metatarsophalangeal joint of the great toe, the position of this arthrodesis, the presence of tender callosities, the attitude of the lateral four toes, and symmetry.<\/jats:p>\n                  <jats:p>Results were good or excellent in 76%, satisfactory in 12%, and poor in 12%.<\/jats:p>","DOI":"10.1177\/107110078100100609","type":"journal-article","created":{"date-parts":[[2013,3,3]],"date-time":"2013-03-03T03:24:58Z","timestamp":1362281098000},"page":"343-347","source":"Crossref","is-referenced-by-count":9,"title":["Dwyer's Operation for the Rheumatoid Forefoot"],"prefix":"10.1177","volume":"1","author":[{"given":"Craig R.","family":"MacClean","sequence":"first","affiliation":[{"name":"Former Instructor and Hand Fellow, Division of Orthopaedic Surgery, University of Alabama in Birmingham."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William A.","family":"Silver","sequence":"additional","affiliation":[{"name":"Associate Professor of Orthopaedic Surgery, University of Saskatchewan, University Hospital, Saskatchewan, Canada. Address all correspondence to: William A. Silver, M.D., FRCS (C), Department of Orthopaedic Surgery, University Hospital, Saskatoon, Saskatchewan, Canada S7N OXO."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1981,5,1]]},"reference":[{"key":"atypb1","first-page":"94","volume":"74","year":"1971","journal-title":"Clin. Orthop."},{"key":"atypb2","first-page":"126","volume":"55","year":"1973","journal-title":"J. Bone Joint Surg."},{"key":"atypb3","unstructured":"Baxter\u00a0D.E.,Mann\u00a0R.A.DuVries' Surgery of the Foot. 4th Ed.Mann\u00a0R.A., ed. St. Louis: The C. V. Mosby Company; 1978:102-141."},{"key":"atypb4","first-page":"221","volume":"50","year":"1968","journal-title":"J. Bone Joint Surg."},{"key":"atypb5","unstructured":"Clayton\u00a0M.L.Foot Disorders. 2nd Ed.Giannestras\u00a0N.J., ed. Philadelphia: Lea & Febiger; 1973:444-466."},{"key":"atypb6","first-page":"136","volume":"16","year":"1960","journal-title":"Clin. Orthop."},{"key":"atypb7","first-page":"192","volume":"52","year":"1970","journal-title":"J. Bone Joint Surg."},{"key":"atypb8","first-page":"19","volume":"7","year":"1970","journal-title":"J. Western Orthop. Assoc."},{"key":"atypb9","first-page":"488","volume":"51","year":"1963","journal-title":"J. Bone Joint Surg."},{"key":"atypb10","doi-asserted-by":"crossref","first-page":"117","DOI":"10.2106\/00004623-197759010-00021","volume":"59","year":"1977","journal-title":"J. Bone Joint Surg."},{"key":"atypb11","first-page":"507","volume":"41","year":"1959","journal-title":"J. Bone Joint Surg."},{"key":"atypb12","first-page":"98","volume":"57","year":"1975","journal-title":"J. Bone Joint Surg."},{"key":"atypb13","doi-asserted-by":"crossref","first-page":"478","DOI":"10.2106\/00004623-197557040-00006","volume":"57","year":"1975","journal-title":"J. Bone Joint Surg."},{"key":"atypb14","first-page":"441","volume":"9","year":"1911","journal-title":"Am. J. Orthop. Surg."},{"key":"atypb15","first-page":"274","volume":"102","year":"1954","journal-title":"Guy's Hosp. Rep."},{"key":"atypb16","first-page":"552","volume":"49","year":"1967","journal-title":"J. Bone Joint Surg."},{"key":"atypb17","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1016\/S0030-5898(20)32234-3","volume":"7","year":"1976","journal-title":"Orthop. Clin. North Am."},{"key":"atypb18","unstructured":"Marmor\u00a0L.Arthritis Surgery. 1st Ed.Philadelphia: Lea & Febiger; 1976:474-502."},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197505000-00036"},{"key":"atypb20","first-page":"724","volume":"109","year":"1973","journal-title":"Can. Med. Assoc. J."},{"key":"atypb21","first-page":"544","volume":"49","year":"1967","journal-title":"J. Bone Joint Surg."},{"key":"atypb22","first-page":"684","volume":"53","year":"1971","journal-title":"J. Bone Joint Surg."},{"key":"atypb23","first-page":"86","volume":"36","year":"1964","journal-title":"Clin. Orthop."},{"key":"atypb24","first-page":"6","volume":"41","year":"1975","journal-title":"Acta Orthop. Belg."},{"key":"atypb25","first-page":"555","volume":"22","year":"1940","journal-title":"J. Bone Joint Surg."},{"key":"atypb26","first-page":"527","volume":"56","year":"1974","journal-title":"J. Bone Joint Surg."}],"container-title":["Foot &amp; Ankle"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/107110078100100609","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/107110078100100609","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:17:00Z","timestamp":1777411020000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/107110078100100609"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1981,5]]},"references-count":26,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1981,5]]}},"alternative-id":["10.1177\/107110078100100609"],"URL":"https:\/\/doi.org\/10.1177\/107110078100100609","relation":{},"ISSN":["0198-0211"],"issn-type":[{"value":"0198-0211","type":"print"}],"subject":[],"published":{"date-parts":[[1981,5]]}}}