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.
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。
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