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Surgery for Jaccoud Arthropathy: A Systematic Review
Willer D Santos1, Carla Baleeiro, Mittermayer Barreto Santiago
1From the *Escola Bahiana de Medicina e Saúde Pública and †Serviços Especializados em Reumatologia da Bahia, Salvador, Bahia, Brazil.
Summary
Surgical interventions for Jaccoud arthropathy (JA) lack standardized protocols and evidence. This systematic review highlights the limited data and absence of consensus on surgical approaches for JA patients.
Area of Science:
- Rheumatology
- Orthopedic Surgery
Background:
- Jaccoud arthropathy (JA) presents reversible joint deformities resembling rheumatoid arthritis.
- Etiopathogenesis of JA remains unknown, with disappointing therapeutic outcomes.
- Limited scientific evidence exists regarding surgical procedures for JA.
Purpose of the Study:
- To systematically review the literature on surgical procedures for Jaccoud arthropathy.
- To evaluate the scientific evidence supporting surgical interventions in JA.
Main Methods:
- Systematic literature search of MEDLINE, LILACS, and Scielo databases (1966-2014).
- Keywords included "Jaccoud arthropathy," "rheumatic fever," "systemic lupus erythematosus," and "surgery."
- Inclusion criteria focused on studies reporting surgical procedures for JA.
Main Results:
- Only 7 articles met inclusion criteria, involving 58 patients who underwent surgery for JA.
- Studies were predominantly small case series with varied outcome definitions and follow-up durations.
- Significant heterogeneity was observed in surgical techniques and patient selection.
Conclusions:
- There is a lack of consensus on optimal surgical approaches for Jaccoud arthropathy.
- Identifying ideal candidates and timing for JA surgery requires further investigation.
- High-quality evidence is needed to guide surgical decision-making in JA.
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