Surgery for Rheumatoid Arthritis of the Lower Extremities

Author(s):  
Philip D. Wilson
TRAUMA ◽  
2016 ◽  
Vol 17 (2) ◽  
pp. 100
Author(s):  
S.I. Herasymenko ◽  
L.V. Perfilova ◽  
А.S. Herasymenko

2003 ◽  
Vol 52 (1) ◽  
pp. 162-165
Author(s):  
Kiyofumi Mitsutake ◽  
Tomoko Matsumoto ◽  
Toshiyuki Tsurumoto ◽  
Hiroyuki Shindo

2012 ◽  
Vol 19 (1) ◽  
pp. 48-52
Author(s):  
O A Malakhov ◽  
E I Alekseeva ◽  
O O Malakhov ◽  
Sergey Yur'evich Morev ◽  
S I Valieva ◽  
...  

Results of total hip replacement (THR) performed in 23 patients (9 male and 14 female) aged from 13 to 18 years with coxarthrosis on the background of juvenile rheumatoid arthritis (JRA) are presented. All patients have been operated on at traumatologic-orthopaedic department of Scientific Center for Children's Health during the period from 2008 to 2012. Main complaints of patients were pain and limitation of movement in hip joints, discrepancy of lower extremities length, claudication, disturbance of weight bearing ability and lower extremities function that in 90% of cases made the movement without additional support impossible. Indications to THR and peculiarities of surgery in young patients with JRA are described. Almost in all patients correction of lower extremities deformity and formation of either normal or close to normal functional status have been achieved. Roentgenologic examination showed good localization of implant components.


2020 ◽  
Vol 3 (1) ◽  
pp. V3
Author(s):  
Henry Ruiz-Garcia ◽  
Kelly Gassie ◽  
Lina Marenco-Hillembrand ◽  
Angela M. Donaldson ◽  
Kaisorn L. Chaichana

Basilar invagination is a challenging dilemma that neurosurgeons may face. Herein, we present a case of a 65-year-old female with a history of rheumatoid arthritis and status post a previous C4–7 ACDF who presented to our clinic with progressive weakness in her bilateral upper and lower extremities. Imaging revealed basilar invagination. She underwent an endoscopic endonasal odontoidectomy followed by an occiput–C6 fusion. We present the endonasal portion of the procedure and have highlighted the technical nuances of this approach. Our goal is to provide better insight into this surgical strategy when dealing with basilar invagination.The video can be found here: https://youtu.be/aeMbvI_zYQA


2021 ◽  
Vol 28 (2) ◽  
pp. 77-87
Author(s):  
Ildar F. Akhtiamov ◽  
Vladimir I. Aidarov ◽  
Eldar R. Khasanov

Rheumatoid arthritis is a social problem due to high disability, reaching 90% among the population. A detailed disclosure of the social significance of nosology shows that in the first 5 years of the disease, about half of the patients get a disability, in the first 10 years 2/3 of the patients. The destruction of large joints is the result of a long course of the disease. Many studies say that after 10 years from the onset of the disease, a third of patients need arthroplasty of the large joints of the lower extremities. Polyarthritic joint damage leads to the difficulty of carrying out restorative treatment. The article the main methods of rehabilitation of patients after arthroplasty of the joints of the lower extremities, assessed the effectiveness of each method in the treatment of patients with osteoarthritis of large joints, and proposed their own version of therapeutic physical activity in water. The advantage of this method is to reduce pressure on other joints and to concentrate force on the operated limb. In addition, some authors talk about the analgesic effect of thermotherapy, ultrasound therapy and balneotherapy. Thus, the postoperative treatment of patients with rheumatoid arthritis is an important part of the overall treatment and enhances the effectiveness of surgical correction. The most important and accessible physiotherapy procedures are kinesiotherapy and aqua gymnastics. According to the results of the article, other methods only complement the main therapeutic effect.


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