[Current Options of Rheumatosurgery of the Hand and Wrist]

Area of Science:

• Orthopedics
• Rheumatology

Background:

• Rheumatoid arthritis commonly affects the wrist and hand.
• Rheumatosurgery addresses musculoskeletal symptoms of rheumatoid arthritis.

Purpose of the Study:

• To categorize surgical procedures for rheumatoid arthritis in the hand and wrist.
• To outline prophylactic and reconstructive surgical strategies.

Main Methods:

• Surgical procedures are divided into prophylactic and reconstructive categories.
• Prophylactic interventions include synovectomy, tenodeses, and limited arthrodesis.
• Reconstructive procedures involve osteotomy, resection, alloplasties, and tendon reconstruction.

Main Results:

• Surgical management is typically a combination of prophylactic and reconstructive techniques.
• Prophylactic surgery aims to slow rheumatoid deformity progression.
• Reconstructive surgery addresses established deformities and complications.

Conclusions:

• Rheumatosurgery employs distinct but often overlapping prophylactic and reconstructive approaches.
• Early intervention is key to managing rheumatoid arthritis in the hand and wrist.
• A comprehensive surgical strategy is essential for optimal patient outcomes.