Kozlow Jeffrey H, Chung Kevin C
Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, 2130 Taubman Center, SPC 5340, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0340, USA.
Hand Clin. 2011 Feb;27(1):31-41. doi: 10.1016/j.hcl.2010.09.003. Epub 2010 Nov 20.
Rheumatoid arthritis (RA) is a progressively destructive disease. Gradual loss of hand function in RA patients affects their ability for self-care and interferes with their productivity in society. The continuing improvement in the medical management of RA has markedly decreased the incidence of RA hand surgery. In contrast to RA, osteoarthritis (OA) has less inflammatory reaction in the joints and is characterized by degradation of cartilage, resulting in joint destruction and osteophyte formation. The initial treatment of OA is medication and therapy. Steroid injection into affected joints can provide short-term relief, though repeat injections carry a cumulative risk of weakening the soft tissue. In this article the authors share their extensive experience in RA and OA hand surgery to provide a clear discussion of the indications and outcomes of its practice.
类风湿性关节炎（RA）是一种进行性破坏性疾病。类风湿性关节炎患者手部功能逐渐丧失会影响其自我护理能力，并干扰他们在社会中的生产力。类风湿性关节炎医疗管理的持续改善显著降低了类风湿性关节炎手部手术的发生率。与类风湿性关节炎不同，骨关节炎（OA）关节的炎症反应较轻，其特征是软骨退化，导致关节破坏和骨赘形成。骨关节炎的初始治疗是药物治疗和物理治疗。向受影响的关节注射类固醇可以提供短期缓解，不过重复注射会累积软组织弱化的风险。在本文中，作者分享了他们在类风湿性关节炎和骨关节炎手部手术方面的丰富经验，以便对其手术的适应症和结果进行清晰的讨论。
