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本文引用的文献

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American College of Rheumatology 2008 recommendations for the use of nonbiologic and biologic disease-modifying antirheumatic drugs in rheumatoid arthritis.美国风湿病学会2008年关于类风湿关节炎中使用非生物和生物改善病情抗风湿药物的建议。
Arthritis Rheum. 2008 Jun 15;59(6):762-84. doi: 10.1002/art.23721.
2
Risk factors for total knee arthroplasty in rheumatoid arthritis.类风湿关节炎全膝关节置换术的危险因素。
Mod Rheumatol. 2007;17(6):476-80. doi: 10.1007/s10165-007-0629-0. Epub 2007 Dec 20.
3
Perioperative medication management for the patient with rheumatoid arthritis.类风湿关节炎患者的围手术期药物管理
J Am Acad Orthop Surg. 2006 Sep;14(9):544-51. doi: 10.5435/00124635-200609000-00004.
4
Declining use of orthopedic surgery in patients with rheumatoid arthritis? Results of a long-term, population-based assessment.类风湿关节炎患者骨科手术的使用情况在下降？一项基于人群的长期评估结果。
Arthritis Rheum. 2003 Apr 15;49(2):216-20. doi: 10.1002/art.10998.
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Guidelines for the management of rheumatoid arthritis: 2002 Update.类风湿关节炎管理指南：2002年更新版
Arthritis Rheum. 2002 Feb;46(2):328-46. doi: 10.1002/art.10148.
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Posterior cruciate ligament-retaining total knee arthroplasty in patients with rheumatoid arthritis.类风湿性关节炎患者保留后交叉韧带的全膝关节置换术。
J Bone Joint Surg Am. 2001 Aug;83(8):1231-6. doi: 10.2106/00004623-200108000-00013.
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Methotrexate and early postoperative complications in patients with rheumatoid arthritis undergoing elective orthopaedic surgery.甲氨蝶呤与接受择期骨科手术的类风湿关节炎患者术后早期并发症
Ann Rheum Dis. 2001 Mar;60(3):214-7. doi: 10.1136/ard.60.3.214.
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The kinematic total knee arthroplasty. A 10- to 15-year follow-up and survival analysis.膝关节置换术的运动学研究。10至15年随访及生存分析。
Arch Orthop Trauma Surg. 2000;120(1-2):48-52.
9
Total knee arthroplasty in patients with rheumatoid arthritis. An overview.
Clin Orthop Relat Res. 1999 Sep(366):54-60. doi: 10.1097/00003086-199909000-00008.
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Bone abnormalities in the surgical treatment of patients with rheumatoid arthritis.
Clin Orthop Relat Res. 1999 Sep(366):8-21. doi: 10.1097/00003086-199909000-00003.

类风湿关节炎的全膝关节置换术。

Total knee arthroplasty in rheumatoid arthritis.

作者信息

Lee Jin Kyu, Choi Choong-Hyeok

机构信息

Department of Orthopaedic Surgery, Hanyang University College of Medicine, Seoul, Korea.

出版信息

Knee Surg Relat Res. 2012 Mar;24(1):1-6. doi: 10.5792/ksrr.2012.24.1.1. Epub 2012 Feb 28.

DOI:10.5792/ksrr.2012.24.1.1
PMID:22570845
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3341816/
Abstract

The course of rheumatoid arthritis varies from mild disease to severe joint destructive variant that progresses rapidly, eventually leading to unremitting pain and joint deformity. In advanced disease, total knee arthroplasty has proven to be the most successful intervention that reduces knee pain and improves physical function in rheumatoid arthritis patients. However, as rheumatoid arthritis patients carry additional potential for late complications, many important considerations regarding preoperative evaluation and surgical technique must be taken into account in order to improve the results of total knee arthroplasty in this subgroup of patients.

摘要

类风湿关节炎的病程从轻度疾病到严重的关节破坏变异型不等，后者进展迅速，最终导致持续的疼痛和关节畸形。在疾病晚期，全膝关节置换术已被证明是最成功的干预措施，可减轻类风湿关节炎患者的膝关节疼痛并改善其身体功能。然而，由于类风湿关节炎患者发生晚期并发症的可能性更大，因此必须考虑许多关于术前评估和手术技术的重要因素，以提高该亚组患者全膝关节置换术的效果。