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Effectiveness Of Rheumatoid Hand Surgery: Contrasting Perceptions ...
Get Effectiveness Of Rheumatoid Hand Surgery: Contrasting Perceptions ...
Ann Arbor, MI Purpose: Surgical management of rheumatoid hand diseases is controversial with large variation in practice pattern in the U.S. The purpose of this study is to evaluate the attitudes of hand surgeons and rheumatologists toward the effectiveness of rheumatoid hand surgery. Methods: We designed a survey instrument to examine physicians opinions about the effectiveness of different surgical treatments for rheumatoid hand deformities. The self-administered survey was mailed to a nat.
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5-Point FAQ
There is no cure for rheumatoid arthritis, but remission (no visible signs or symptoms) is possible. Learn why symptoms return and what you can do about it.
Surgery will not cure rheumatoid arthritis, but it may help alleviate some of the symptoms. The key to proper management and treatment of RA is timely diagnosis and medication. Surgery should be viewed as a last resort option for people with RA.
Surgeons at NYU Langone may recommend total joint replacement if rheumatoid arthritis has significantly damaged the joints of the hands and feet, limiting your ability to participate in everyday activities. In this procedure, surgeons replace the bones of the ankle or wrist joints with durable plastic and metal parts.
Although there's no cure for rheumatoid arthritis, early treatment and support (including medicine, lifestyle changes, supportive treatments and surgery) can reduce the risk of joint damage and limit the impact of the condition. Your treatment will usually involve care from your GP and several different specialists.
Continuing advances in RA treatment mean that the outlook for people with RA is better than ever before. Many people can live a healthy, active life with RA. For example, disease-modifying antirheumatic drugs (DMARDs) have become an effective and widely available medication for people with RA.
The surgical treatments for RA of the hand and wrist include synovectomy, tenosynovectomy, tendon realignment, reconstructive surgery or arthroplasty, and arthrodesis. Surgical treatment is much more likely to be successful if it is implemented early in the course of the deformity.
Yet surgery to repair the damage from hand arthritis is relatively rare. One reason is that finger surgery has a high complication and failure rate. It can also sacrifice mobility for pain relief. The two main surgical options for hand arthritis are fusion (arthrodesis) and total knuckle replacement (arthroplasty).
It may be ideal for younger, active people who do physically demanding jobs or those who already had thumb surgery but haven't seen much relief from their symptoms. In a 2016 study of 26 people who underwent arthrodesis, there was a minimum of 8 months followup after their procedure. It has a success rate of over 79%.
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by KC Chung · 2012 · Cited by 53 — tiveness of rheumatoid hand surgery: contrasting...
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