Reactive arthritis surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Surgical intervention is not recommended for the management of reactive arthritis. However, young adults who develop a chronic course may benefit from arthroscopic synovectomy. Patients with severe reactive arthritis with involvement of heart and vitreous chamber may require | Surgical intervention is not recommended for the management of reactive arthritis. However, young adults who develop a chronic course may benefit from [[arthroscopic]] [[synovectomy]]. Patients with severe reactive arthritis with involvement of [[heart]] and [[vitreous]] chamber may require [[valve replacement surgery]] and [[vitrectomy]] respectively. | ||
==Surgery== | ==Surgery== | ||
Surgical intervention is not recommended for the management of reactive arthritis. However, young adults who develop a chronic course may benefit from certain surgical procedures:<ref name="pmid14038032">{{cite journal |vauthors=WEINBERGER HW, ROPES MW, KULKA JP, BAUER W |title=Reiter's syndrome, clinical and pathologic observations. A long term study of 16 cases |journal=Medicine (Baltimore) |volume=41 |issue= |pages=35–91 |date=February 1962 |pmid=14038032 |doi= |url=}}</ref> | |||
*[[Arthroscopic]] [[synovectomy]] helps in early release of [[soft tissue]] which may prevent the long term complications of arthritis such as [[contractures]] and severe [[impairment]]. | |||
*Patients with [[heart]] involvement and transient conduction abnormalities may require [[valve replacement surgery]]. | |||
*Additionally, patients with chronic eye inflammation may have chronic iridocyclitis leading to vitreous opacification. In these patients, vitrectomy may be necessary to prevent visual decline. | *Additionally, patients with chronic eye inflammation may have chronic [[iridocyclitis]] leading to [[vitreous]] opacification. In these patients, [[vitrectomy]] may be necessary to prevent [[visual]] decline. | ||
==References== | ==References== | ||
Latest revision as of 15:44, 12 April 2018
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Risk calculators and risk factors forReactive arthritis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]
Overview
Surgical intervention is not recommended for the management of reactive arthritis. However, young adults who develop a chronic course may benefit from arthroscopic synovectomy. Patients with severe reactive arthritis with involvement of heart and vitreous chamber may require valve replacement surgery and vitrectomy respectively.
Surgery
Surgical intervention is not recommended for the management of reactive arthritis. However, young adults who develop a chronic course may benefit from certain surgical procedures:[1]
- Arthroscopic synovectomy helps in early release of soft tissue which may prevent the long term complications of arthritis such as contractures and severe impairment.
- Patients with heart involvement and transient conduction abnormalities may require valve replacement surgery.
- Additionally, patients with chronic eye inflammation may have chronic iridocyclitis leading to vitreous opacification. In these patients, vitrectomy may be necessary to prevent visual decline.