Two Cases of High Tibial Osteotomy in Patients with Rheumatoid Arthritis Treated with Biologic Disease-modifying Anti-rheumatic Drugs

被引：0

作者：

Takahara, Yasuhiro ^{[1
]}

Nishida, Keiichiro ^{[2
]}

Nakashima, Hirotaka ^{[1
]}

Ochi, Nobuaki ^{[1
]}

Uchida, Yoichiro ^{[1
]}

Kato, Hisayoshi ^{[1
]}

Itani, Satoru ^{[1
]}

Nakamura, Makoto ^{[1
]}

Iwasaki, Yuichi ^{[1
]}

Tsujimura, Yoshitaka ^{[1
]}

机构：

[1] Nippon Kokan Fukuyama Hosp, Dept Orthoped Surg, Fukuyama, Hiroshima 7210927, Japan

[2] Okayama Univ, Dept Orthopaed Surg, Grad Sch Med Dent & Pharmaceut Sci, Okayama 7008558, Japan

来源：

ACTA MEDICA OKAYAMA | 2019年 / 73卷 / 06期

关键词：

high tibial osteotomy; rheumatoid arthritis; biologic DMARD; knee surgery; KNEE; OUTCOMES; JOINTS;

D O I：

暂无

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

High tibial osteotomy (HTO) procedure is generally contraindicated in rheumatoid arthritis (RA) patients because synovial inflammation may exacerbate joint damage post-surgery. The natural course of joint destruction in RA changed dramatically with new treatment strategies and the introduction of biologic disease-modifying anti-rheumatic drugs (bDMARDs). We report the cases of two RA patients who underwent HTO and whose disease activities were well controlled by bDMARDs. Despite their short follow-up periods, they showed acceptable objective and subjective clinical results. We believe that the combination of bDMARDs and HTO can be indicated for selected RA patients before total knee arthroplasty.

引用

页码：537 / 542

页数：6

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