Rheumatoid arthritis surgical therapy
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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:[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
- Active systemic infection
- Active joint infection
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.