Surgery for inflammatory rheumatic joint destruction

Surgery for inflammatory rheumatic joint destruction

Orthopaedic and traumatologic involvement in patients with rheumatic diseases require extensive knowledge of these immunologically impairing illnesses. This concerns both the handling of medication and conservative treatment. The destructive processes of the joints and the spine follow established p...

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Bibliographic Details
Published in:Der Orthopäde Vol. 47; no. 11; p. 935
Main Authors: Rehart, S, Henniger, M
Format: Journal Article
Language:German
Published: Germany 01-11-2018
Subjects:
Arthrodesis
Arthroplasty
Arthroscopy
Synovectomy
Rheumatoid arthritis
Tendons
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Summary:Orthopaedic and traumatologic involvement in patients with rheumatic diseases require extensive knowledge of these immunologically impairing illnesses. This concerns both the handling of medication and conservative treatment. The destructive processes of the joints and the spine follow established pathways. Various operating procedures are helpful depending on the stage of articular destruction. The special features of the entire perioperative management of affected persons has to be observed. Soft tissue surgical interventions are followed by arthrodesis or arthroplasty in later courses of destruction. In Germany, the orthopaedic rheumatologist specializes in the conservative and surgical treatment of inflammatory systemic diseases. Audited centres for operative interventions of the German Society for Orthopaedic Rheumatology (DGORh) seem to be the best fit for this purpose.
ISSN:1433-0431
DOI:10.1007/s00132-018-03657-7