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Chapter-075 Surgical Management of Rheumatoid Arthritis

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author
1. Khanna Manish
2. Chopra Rashmi
ISBN
9789385891052
DOI
10.5005/jp/books/12869_76
Edition
3/e
Publishing Year
2016
Pages
6
Author Affiliations
1. Indian Orthopaedic Rheumatology Association; Government Medical College, Ambedkarnagar, Uttar Pradesh; Stem Cell Society of India, Mumbai, Indian Orthopaedic Rheumatology, Association; Indian Stem Cell Study; Lucknow, Uttar Pradesh, India
2. Apollo Spectra Hospital, New Delhi, India, Apollo Spectra Hospitals, New Delhi, India
Chapter keywords
rheumatoid arthritis, synovectomy, osteotomy, arthrodesis, arthroplasties, metacarpophalangeal joints, interphalangeal joints, thumb, tendon

Abstract

This chapter discusses surgical management of rheumatoid arthritis. The purpose of this chapter is to present an approach to the surgical considerations in patients who do not respond completely to conservative modality of management. There are numerous considerations which must be addressed before proceeding to surgery including current serum levels, etc. Imaging studies like radiographs, computerized tomography scans, radionucleotide scans and occasionally magnetic resonance imaging of the concerned joint are crucial to decide the extent of damage. Common surgical procedures are synovectomy, osteotomy, arthrodesis, arthroplasties, surgery for rheumatoid hand and wrist, metacarpophalangeal joints, interphalangeal joints, thumb, and tendon rupture briefly discussed in this chapter.

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