Kahn M F, Zenklusen C, Palazzo E
Hôpital Bichat, Service de Rhumatologie, Paris.
Rev Rhum Mal Osteoartic. 1991 Apr;58(3 ( Pt 2)):69S-72S.
The authors have determined the timing and details of the recourse to surgery in a cohort of 288 non-selected cases of rheumatoid arthritis. This was necessary in one third of the patients after a mean follow-up period of 10 years. The same was true for patients followed up as out-patients as for those hospitalized during the active progress of the disease. Fifteen percent of the patient in the cohort received total replacement of a large joint by a prosthesis. Orthopedic surgery makes a major contribution towards improving the functional prognosis in rheumatoid arthritis.
作者们已确定了288例未经挑选的类风湿性关节炎病例采用手术治疗的时机和细节。在平均随访10年后，三分之一的患者有必要进行手术。门诊随访的患者与疾病活动进展期住院的患者情况相同。该队列中有15%的患者接受了大关节的全关节置换术。矫形外科手术对改善类风湿性关节炎的功能预后有重要作用。
