He Y, Shan F, Fan C, et al. - This study was carried out to match the clinical outcomes of resection arthroplasty of metatarsals 2-5 with either first metatarsophalangeal joint arthrodesis or arthroplasty for rheumatoid forefoot deformity treatment. Researchers performed a systematic review and meta-analysis for comparative studies on the clinical effects of resection arthroplasty of metatarsals 2-5 with either first metatarsophalangeal joint arthrodesis or arthroplasty for the treatment of rheumatoid forefoot deformity. The study enrolled a sum of 337 patients (459 feet) with rheumatoid forefoot deformity from 6 comparative studies, with the mean follow-up times ranging from 25 to 80 months in the arthrodesis group and 35 to 102 months in the arthroplasty group. A comparison of the procedures exhibited that for rheumatoid forefoot deformity, first metatarsophalangeal joint arthrodesis with resection arthroplasty of the lesser rays produced similar postoperative pain relief and better maintenance of the hallux valgus angle and the 1 ^st –2 ^nd intermetatarsal angle. Nevertheless, the outcomes should be interpreted with caution due to the high heterogeneity and relatively low quality of the reviewed articles.