Clinical and functionai efficiency of several large joints arthroplasty in patient with rheumatoid arthritis

Author:

Lapshina S. A.1ORCID,Akhtyamov I. F.1ORCID,Gilmutdinov I. Sh.2ORCID,Volchenko D. V.3ORCID

Affiliation:

1. Kazan State Medical University

2. Republican Clinical Hospital

3. State Scientific Centre of the Russian Federation – Federal Medical Biophysical Centre n.a. A.I. Burnazyan

Abstract

The article presents the issues of arthroplasty of several large joints in rheumatoid arthritis (RA), including the difficulties of perioperative management of young patients. The effectiveness of arthroplasty of several (from 2 to 4) large joints is shown in the management of patients with RA at the orthopedist and rheumatologist. Тhe absence of serious postoperative complications was demonstrated. The article presents а 20-year clinical case of a young patient with active RA and arthroplasty of 4 large joints. This example demonstrates the success and safety of multiple arthroplasty with a complete return of joint function and a decrease in RA activity during long-term dynamic follow-up at the orthopedist and rheumatologist.

Publisher

Alfmed LLC

Subject

Materials Chemistry,Economics and Econometrics,Media Technology,Forestry

Reference21 articles.

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3. Amirjanova VN, Karateev AE, Pogozheva EY. Review of the recommendations of the American College of Rheumatology and the American Association of Surgeons on the perioperative management and antirheumatic therapy of patients with rheumatic diseases before total knee and hip arthroplasty – 2017. Rheumatology Science and Practice. 2018; 56 (5): 549–555. DOI: 10.14412/1995–4484–2018–549–555.

4. Smolen JS, Landewé RBM, Bijlsma JWJ, et al. EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2019 update. Ann Rheum Dis. 2020 Jun; 79 (6): 685–699. DOI: 10.1136/annrheumdis 2019–216655.

5. Shuji Asai, Nobunori Takahashi, Nobuyuki Asai et al. Characteristics of patients with rheumatoid arthritis undergoing primary total joint replacement: A 14-year trend analysis (2004–2017). Mod Rheumatol. 2020 Jul; 30 (4): 657–663. DOI: 10.1080/14397595.2019.1649111.

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