Rheumatoid arthritis surgical therapy: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Rheumatoid arthritis}} | {{Rheumatoid arthritis}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{MKK}} | ||
==Overview== | ==Overview== | ||
The mainstay of treatment for [[rheumatoid arthritis]] is medical therapy. Surgery is usually reserved for patients with debilitating disease, failure of medical therapy, and radiographic findings of end-stage [[arthritis]]. Various surgical options used for the treatment of [[RA]] include tenosynovectomy, [[arthroscopic]] or open [[synovectomy]], joint fusion, small joint implant [[arthroplasty]], total joint replacement of deformed joint. | |||
==Indications== | ==Indications== | ||
The mainstay of treatment for [[rheumatoid arthritis]] is medical therapy. Surgery is usually reserved for patients with following conditions: | |||
*Severe pain at rest and with | *Severe [[pain]] at rest and with movement | ||
*Failure of medical therapy | *Failure of medical therapy | ||
*Radiographic findings of end-stage arthritis | *Radiographic findings of end-stage [[arthritis]] | ||
==Surgery== | ==Surgery== | ||
Various | Various surgical options used for the treatment of [[RA]] are:<ref name="pmid29543214">{{cite journal |vauthors=Lisitskiy IY, Kiselev AM, Kiselev SE |title=[Rheumatoid atlanto-axial dislocation: a surgical approach] |language=Russian |journal=Zh Vopr Neirokhir Im N N Burdenko |volume=82 |issue=1 |pages=41–47 |date=2018 |pmid=29543214 |doi=10.17116/neiro201882141-47 |url=}}</ref><ref name="pmid29138658">{{cite journal |vauthors=Cheikh AB, Maitigue MB, Masmoudi K, Mouelhi T, Naouar N, Grissa Y, Bouattour K, Osman W, Ben Ayeche ML |title=[Femoral varising osteotomy by external opening for the treatment of lateral femorotibial gonarthroses associated with idiopathic genu valgum: a retrospective a study of 10 cases] |language=French |journal=Pan Afr Med J |volume=28 |issue= |pages=22 |date=2017 |pmid=29138658 |pmc=5681007 |doi=10.11604/pamj.2017.28.22.12014 |url=}}</ref> | ||
*Tenosynovectomy: Used to repair the ruptured tendon. | *Tenosynovectomy: | ||
*Arthroscopic or open synovectomy: Used to excise inflamed tendon. | ** Used to repair the ruptured [[tendon]]. | ||
*[[Arthroscopic]] or open [[synovectomy]]: | |||
**Used to excise inflamed tendon. | |||
*Joint fusion | *Joint fusion | ||
*Small joint implant arthroplasty | *Small joint implant [[arthroplasty]] | ||
*Total joint replacement of deformed joint | *Total joint replacement of deformed joint | ||
==Contraindications== | ==Contraindications== | ||
Various complications of surgery for rheumatoid arthritis may include: | |||
*Active systemic [[infection]] | |||
*Active joint [[infection]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 14:10, 23 April 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]
Overview
The mainstay of treatment for rheumatoid arthritis is medical therapy. Surgery is usually reserved for patients with debilitating disease, failure of medical therapy, and radiographic findings of end-stage arthritis. Various surgical options used for the treatment of RA include tenosynovectomy, arthroscopic or open synovectomy, joint fusion, small joint implant arthroplasty, total joint replacement of deformed joint.
Indications
The mainstay of treatment for rheumatoid arthritis is medical therapy. Surgery is usually reserved for patients with following conditions:
- Severe pain at rest and with movement
- Failure of medical therapy
- Radiographic findings of end-stage arthritis
Surgery
Various surgical options used for the treatment of RA are:[1][2]
- Tenosynovectomy:
- Used to repair the ruptured tendon.
- Arthroscopic or open synovectomy:
- Used to excise inflamed tendon.
- Joint fusion
- Small joint implant arthroplasty
- Total joint replacement of deformed joint
Contraindications
Various complications of surgery for rheumatoid arthritis may include:
References
- ↑ Lisitskiy IY, Kiselev AM, Kiselev SE (2018). "[Rheumatoid atlanto-axial dislocation: a surgical approach]". Zh Vopr Neirokhir Im N N Burdenko (in Russian). 82 (1): 41–47. doi:10.17116/neiro201882141-47. PMID 29543214.
- ↑ Cheikh AB, Maitigue MB, Masmoudi K, Mouelhi T, Naouar N, Grissa Y, Bouattour K, Osman W, Ben Ayeche ML (2017). "[Femoral varising osteotomy by external opening for the treatment of lateral femorotibial gonarthroses associated with idiopathic genu valgum: a retrospective a study of 10 cases]". Pan Afr Med J (in French). 28: 22. doi:10.11604/pamj.2017.28.22.12014. PMC 5681007. PMID 29138658.