Reactive arthritis surgery

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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.
• 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.