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Erschienen in: Clinical Rheumatology 5/2013

01.05.2013 | Original Article

Debridement of painful forefoot plantar callosities in rheumatoid arthritis: the CARROT randomised controlled trial

verfasst von: Heidi J. Siddle, Anthony C. Redmond, Robin Waxman, Abigail R. Dagg, Begonya Alcacer-Pitarch, Richard A. Wilkins, Philip S. Helliwell

Erschienen in: Clinical Rheumatology | Ausgabe 5/2013

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Abstract

The objective of this study was to evaluate the long-term benefits of sharp scalpel debridement of painful forefoot plantar callosities in rheumatoid arthritis (RA). The null hypothesis: sharp scalpel debridement would offer no additional long-term advantage in terms of pain and function. Sixty-five people with RA were randomised to receive regular sharp scalpel debridement of painful forefoot plantar callosities in conjunction with a combined therapeutic approach or a combined therapeutic approach alone. The primary outcome measure was change at 18 months in participant-reported forefoot plantar pain measured by a 100-mm visual analogue scale (VAS). Secondary outcome measures were recorded at baseline and study exit and included revised Foot Function Index, Health Assessment Questionnaire, Foot Impact Scale and gait parameters. At 18 months, there were no differences between groups for the primary outcome VAS-measured forefoot plantar pain (left foot (F = 0.23, p = 0.635), right foot (F = 2.14, p = 0.148)). Within-group changes were highly significant (treatment arm, difference = 16.9 (95 % confidence interval (CI) 9.4, 24.4), t = 4.6, p < 0.0001; control arm, difference = 17.5 (95 % CI 9.4, 25.5), t = 4.4, p < 0.0001). There was little change in scores of overall function and foot impact in either group and there were no significant changes in gait parameters noted. The long-term effects of sharp scalpel debridement of painful forefoot plantar callosities in people with RA, when used in conjunction with a combined therapeutic approach, produced no additional benefit over the combined therapeutic approach alone.
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Metadaten
Titel
Debridement of painful forefoot plantar callosities in rheumatoid arthritis: the CARROT randomised controlled trial
verfasst von
Heidi J. Siddle
Anthony C. Redmond
Robin Waxman
Abigail R. Dagg
Begonya Alcacer-Pitarch
Richard A. Wilkins
Philip S. Helliwell
Publikationsdatum
01.05.2013
Verlag
Springer-Verlag
Erschienen in
Clinical Rheumatology / Ausgabe 5/2013
Print ISSN: 0770-3198
Elektronische ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-012-2134-x

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