Total Joint Arthroplasty in Patients with Inflammatory Rheumatic Diseases

被引:0
作者
Riccardo Compagnoni
Roberta Gualtierotti
Pietro Randelli
机构
[1] ASST Centro Specialistico Ortopedico Traumatologico Gaetano Pini-CTO,Clinica Ortopedica
[2] Università degli Studi di Milano,Laboratory of Applied Biomechanics, Department of Biomedical Sciences for Health
[3] ASST Centro Specialistico Ortopedico Traumatologico Gaetano Pini-CTO,Dipartimento di Reumatologia e Scienze Mediche
[4] Università degli Studi di Milano,Department of Clinical Sciences and Community Health
来源
Advances in Therapy | 2018年 / 35卷
关键词
Inflammatory rheumatic diseases; Psoriatic arthritis; Rheumatoid arthritis; Rheumatology; Systemic lupus erythematosus; Total joint arthroplasty;
D O I
暂无
中图分类号
学科分类号
摘要
Since its introduction, total joint arthroplasty (TJA) has improved the quality of life of patients with degenerative joint disorders. In the last decades, a number of conventional and biological disease-modifying antirheumatic drugs have become available for the treatment of patients with inflammatory rheumatic diseases (IRD), leading to a reduction in the need to undergo TJA. However, TJA is still frequently performed in IRD patients. Both rheumatologists and orthopedics should be aware that patients with IRD have a peculiar perioperative risk profile due to disease-related, patient-related, and surgery-related risk factors. On the basis of current evidence, TJA is a safe procedure for IRD patients as long as an accurate risk stratification and a multidisciplinary approach are applied. We here describe the current strategies for an appropriate surgical management of osteoarthritis in IRD patients and the fascinating opening perspectives that surgeons and clinicians may expect in the future.
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页码:1133 / 1139
页数:6
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