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[Orthopedic therapy in rheumatic diseases]
J Zacher1, T Pauly, K L Schmidt
1Orthopädische Klinik, Klinikum Buch, Berlin.
Fortschritte Der Medizin
|January 7, 1998
Summary
Orthopedic surgeons play a key role in treating rheumatic diseases through conservative and operative procedures. Early interventions like synovectomy and joint replacement offer good results, though osteoporosis requires careful consideration.
Area of Science:
- Orthopedics
- Rheumatology
- Surgical Procedures
Background:
- Rheumatic diseases necessitate a multidisciplinary approach involving orthopedic surgeons.
- Orthopedic contributions encompass both conservative and operative interventions.
Purpose of the Study:
- To outline the orthopedic surgeon's role in managing rheumatic joint diseases.
- To review various surgical treatment options and their outcomes.
Main Methods:
- Discussion of early synovectomy for joint and tendon preservation.
- Evaluation of arthroplastic procedures for non-weight-bearing joints.
- Analysis of arthrodesis for specific joint destructions.
- Review of endoprosthetic treatments for rheumatic joint disease.
Main Results:
- Early synovectomy acts as a preventive measure.
- Arthroplastic procedures are viable for select joints with patient compliance.
- Arthrodesis is preferred for ankle, thumb metacarpophalangeal, and finger middle joint destruction.
- Endoprosthetic treatment yields good primary results, with slightly higher late infection rates.
Conclusions:
- Orthopedic surgical interventions are integral to rheumatic disease management.
- Specific procedures like arthrodesis and arthroplasty are indicated for different joint involvements.
- Endoprosthetic joint replacement is effective, but infection risk warrants attention.