Rheumatoid arthritis surgical therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

Surgical intervention is not recommended for the management of [disease name].

OR

Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]

OR

The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].

OR

The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

Surgery is the mainstay of treatment for [disease or malignancy].

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 function
• Failure of medical therapy
• Radiographic findings of end-stage arthritis

Surgery

Various surgery options are:

• 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