Reactive arthritis surgery: Difference between revisions
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{{Reactive arthritis}} | {{Reactive arthritis}} | ||
{{CMG}} {{AE}} | {{CMG}};{{AE}}{{Akshun}} | ||
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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 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 arthroscopic synovectomy. | |||
*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.<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> | |||
*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== | ||
Revision as of 17:48, 11 April 2018
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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 arthroscopic synovectomy.
- 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.[1]
- 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.