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[Orthopedic surgery in rheumatoid polyarthritis]
M F Kahn1, C Zenklusen, E Palazzo
1Hôpital Bichat, Service de Rhumatologie, Paris.
Revue Du Rhumatisme Et Des Maladies Osteo-Articulaires
|April 1, 1991
Summary
Approximately one-third of rheumatoid arthritis patients require surgery within 10 years, with joint replacement being common. Orthopedic surgery significantly improves functional outcomes for rheumatoid arthritis patients.
Area of Science:
- Rheumatology
- Orthopedic Surgery
- Clinical Epidemiology
Context:
- Rheumatoid arthritis (RA) is a chronic autoimmune disease causing joint inflammation and damage.
- Understanding the long-term surgical needs in RA is crucial for patient management.
- This study examines surgical intervention patterns in a large, unselected RA cohort.
Purpose:
- To determine the timing and types of surgical procedures undertaken in rheumatoid arthritis patients.
- To assess the necessity of surgery over a 10-year follow-up period.
- To evaluate the contribution of orthopedic surgery to functional prognosis in RA.
Summary:
- Surgery was required in one-third of 288 non-selected rheumatoid arthritis patients after a mean 10-year follow-up.
- Surgical rates were similar for both out-patients and hospitalized patients during active disease.
- Fifteen percent of patients underwent total joint replacement with a prosthesis.
Impact:
- Orthopedic surgery plays a vital role in enhancing the functional prognosis for individuals with rheumatoid arthritis.
- Findings inform clinical decision-making regarding surgical referrals and timing in RA management.
- Highlights the long-term impact of RA on joint health and the need for surgical intervention.