The combined use of osteosynthesis techniques in treatment of patients with forefoot rheumatoid involvement

The result of treatment of a female patient with metatarsalgia through rheumatoid involvement of the forefoot presented. The combined use of transosseous osteosynthesis technique and screw internal fixation allowed performing successful treatment with maintaining the metatarsal bone heads as the main supporting elements of the forefoot. Moreover, this approach facilitated the patient’s earlier activation, as well as the ability of the whole foot use for support, and the reduction of the periods of treatment.