ABSTRACT

The foot is involved in nearly 90% of patients with RA. Significant deformity at the hip or knee will result in abnormal loading of the foot and ankle. Surgery of the severely affected foot can be very beneficial. The patient’s functional needs and expectations should first be assessed and a careful clinical examination carried out. Weight-bearing radiographs are required to assess the extent and degree of joint involvement. Patients with rheumatoid disease who undergo surgery are at higher risk because of poor peripheral circulation, steroid therapy, etc.