When does the rheumatologist need surgical consultation?

The rheumatologist is in many ways dependent on the help of the surgeon, from the early diagnosis of arthritis to the treatment of old destruction. The longer the medical history of the condition, the more important its surgical treatment. Collaboration between rheumatologists and surgeons should be encouraged. It is generally best to have a rheumatologist in charge of the patient. The rheumatologist then consults a surgeon when necessary. Rheumatologists must be sufficiently well acquainted with the indications for and prospects of surgical treatment. Only then can they consult a surgeon at the right moment on the need for surgical treatment. Rheumatological treatment and consultation units should be built to allow for convenient regular orthopaedic consultation.