Surgical Management of the Juvenile Idiopathic Arthritis Patient with Multiple Joint Involvement

被引:10
作者
Abdel, Matthew P. [1 ]
Figgie, Mark P. [2 ]
机构
[1] Mayo Clin, Dept Orthoped Surg, Rochester, MN 55905 USA
[2] Hosp Special Surg, Div Adult Reconstruct & Joint Replacement, New York, NY 10021 USA
关键词
Juvenile idiopathic arthritis; Juvenile rheumatoid arthritis; Total hip arthroplasty; Total knee arthroplasty; TOTAL HIP-ARTHROPLASTY; TOTAL KNEE ARTHROPLASTY; FACTOR-ALPHA ANTAGONISTS; RHEUMATOID-ARTHRITIS; NECROSIS-FACTOR; YOUNG-PATIENTS; RISK; REPLACEMENT; INFECTION; CHILDREN;
D O I
10.1016/j.ocl.2014.06.002
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Juvenile idiopathic arthritis (JIA) is recognized as a heterogenous group of disorders in which the common factor is persistent arthritis in at least 1 joint occurring before the age of 16 years. Although conservative management with nonsteroidal anti-inflammatory drugs and disease-modifying antirheumatic drugs can be effective, approximately 10% of JIA patients have end-stage degenerative changes requiring total hip arthroplasties (THAs) and total knee arthroplasties (TKAs). This article discusses the overall epidemiology, coordination of care, and medical and surgical management of JIA patients undergoing THA and TKA.
引用
收藏
页码:435 / +
页数:9
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