An approach to complex rheumatoid hand and wrist problems

Area of Science:

• Orthopedic Surgery
• Rheumatology
• Hand Surgery

Background:

• Rheumatoid arthritis frequently causes complex hand deformities.
• Surgical reconstruction is crucial for restoring hand function.

Observation:

• Two main strategies exist for hand reconstruction: sequential and multiple, concurrent operations.
• The multiple, concurrent operations strategy is less common but highly effective.

Findings:

• This article defines the multiple, concurrent operations strategy for rheumatoid hand reconstruction.
• It outlines indications and provides examples of its application.
• When indicated by experienced surgeons, this comprehensive strategy is highly effective.

Implications:

• Concurrent operations can restore patient function and improve quality of life.
• This approach avoids compromising individual surgical component outcomes.
• It offers a comprehensive solution for complex rheumatoid hand deformities.