류마티스 관절염의 수술적 치료 = Surgical treatment option in rheumatoid arthritis

다국어 초록 (Multilingual Abstract)

Alarge number of patients who are diagnosed with rheumatoid arthritis undergo a chronic and progressive course. Surgical treatment is often needed for these patients, who have not responded to medical treatment. The aim of surgical intervention in rheumatoid arthritis is to restore function and quality of life by preventing joint destruction, correcting deformity, relieving pain, and making cosmetic improvements. There are many surgical options, including synovectomy,osteotomy, arthrodesis, resection arthroplasty, joint replacement, surgeries for the treatment of the tendon involved (repair, transfer, graft), and cervical spine surgery (fusion or decompression).
The selection of the optimal surgical option requires consideration of not only the articular status and the degree of regional deformity involved, but also the physical status and age of the patient. In addition, timely surgical intervention is important because a delay of surgery often results in poorer functional outcomes and an increase in postoperative complications. Early referral to orthopedic treatment can provide better functional outcomes for patients with rheumatoid arthritis. Precise prediction of the disease progress and selection of the optimal treatment option are needed for excellent results to be expected. Therefore, a cooperative and multidisciplinary treatment strategy should be made among the relevant teams, such as physical medicine,rheumatology, orthopedics, physical therapy, occupational therapy, social work, and psychology.

참고문헌 (Reference)

1 Jaakkola JI, "review of rheumatoid arthritis affecting the foot and ankle" 25 : 866-874, 2004

2 Kobus RJ, "Wrist arthrodesis for treatment of rheumatoid arthritis" 15 : 541-546, 1990

3 Kumar MN, "Uncemented total hip arthroplasty in young patients with juvenile chronic arthritis" 80 : 203-209, 1998

4 Trieb K, "Treatment of the wrist in rheumatoid arthritis" 33 : 113-123, 2008

5 Chmell MJ, "Total knee arthroplasty in patients with rheumatoid arthritis. An overview" 366 : 54-60, 1999

6 Caron M, "Tibiotalar joint arthrodesis for the treatment of severe ankle joint degeneration secondary to rheumatoid arthritis" 16 : 337-361, 1999

7 Gariepy R, "The prophylactic effect of synovectomy of the knee in rheumatoid arthritis" 94 : 1349-1352, 1966

8 Nelissen RG, "The impact of total joint replacement in rheumatoid arthritis" 17 : 831-846, 2003

9 Bogoch ER, "The hand: a second face?" 29 : 2477-2483, 2002

10 Nakamura H, "The anti-rheumatic effect of multiple synovectomy in patients with refractory rheumatoid arthritis" 24 : 242-245, 2000

11 Herold N, "Synovectomy and radial head excision in rheumatoid arthritis. 11 patients followed for 14 years" 66 : 252-254, 1995

12 O’Brien ET, "Surgical principles and planning for the rheumatoid hand and wrist" 23 : 407-420, 1996

13 Gallo RA, "Surgical options for the arthritic elbow" 33 : 746-759, 2008

14 Goldfarb CA, "Rheumatoid arthritis: silicone meta-carpophalangeal joint arthroplasty indications, technique, and outcomes" 22 : 177-182, 2006

15 Boden SD, "Rheumatoid arthritis of the cervical spine. A long-term analysis with predictors of paralysis and recovery" 75 : 1282-1297, 1993

16 "Rheumatic diseases-surgical treatment. A systematic literature review by SBU-the Swedish Council on Technology Assessment in Health Care" 294 : 1-88, 2000

17 Vahvanen V, "Results of elbow synovectomy in rheumatoid arthritis" 110 : 151-154, 1991

18 Della Santa D, "Radiological evolution of the rheumatoid wrist after radio-lunate arthrodesis" 20 : 146-154, 1995

19 van Lankveld WG, "Predictors of changes in observed dexterity during one year in patients with rheumatoid arthritis" 37 : 733-739, 1998

20 Chung KC, "Patient outcomes following Swanson silastic metacarpophalangeal joint arthroplasty in the rheumatoid hand: a systematic overview" 27 : 1395-1402, 2000

21 Herren DB, "Partial arthrodesis for the rheumatoid wrist" 21 : 545-552, 2005

22 Chiari C, "Metacarpophalangeal joint arthroplasty in rheumatoid arthritis" 86-A : 1832-1833, 2004

23 Trieb K, "Management of the foot in rheumatoid arthritis" 87 : 1171-1177, 2005

24 Verstappen SM, "Joint surgery in the Utrecht Rheumatoid Arthritis Cohort:the effect of treatment strategy" 65 : 1506-1511, 2006

25 van de Sande MA, "Indications, complications, and results of shoulder arthroplasty" 35 : 426-434, 2006

26 Bishop JY, "Humeral head replacement versus total shoulder arthroplasty: clinical outcomes-a review" 14 : 141S-146S, 2005

27 Gough AK, "Generalised bone loss in patients with early rheumatoid arthritis" 344 : 23-27, 1994

28 Ertel AN, "Flexor tendon ruptures in rheumatoid arthritis" 5 : 177-190, 1989

29 Connor J, "Current recommendations for surgery of the rheumatoid hand and wrist" 7 : 120-124, 1995

30 Breedveld FC, "Current and future management approaches for rheumatoid arthritis" 4 : S16-S21, 2002

31 Levy O, "Copeland surface replacement arthroplasty of the shoulder in rheumatoid arthritis" 86-A : 512-518, 2004

32 Kvien TK, "Comparison of synovectomy and no synovectomy in patients with juvenile rheumatoid arthritis. A 24-month controlled study" 16 : 81-91, 1987

33 Kerschbaumer F, "Combined arthroscopic and radiation synovectomy in rheumatoid arthritis" 27 : 188-196, 1998