Rheumatoid arthritis surgical therapy: Difference between revisions

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__NOTOC__
__NOTOC__
{{Rheumatoid arthritis}}
{{Rheumatoid arthritis}}
{{CMG}}; {{AE}}  
{{CMG}}; {{AE}} {{MKK}}


==Overview==
==Overview==
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==Surgery==
==Surgery==
Various surgery options are:
Various surgery options 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: Used to repair the ruptured tendon.
*Arthroscopic or open synovectomy: Used to excise inflamed tendon.  
*Arthroscopic or open synovectomy: Used to excise inflamed tendon.  
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==Contraindications==
==Contraindications==
 
*Active systemic infection
*Active joint infection
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 20:22, 29 March 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

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

Contraindications

  • Active systemic infection
  • Active joint infection

References

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