Weill Medical College of Cornell University, Hospital for Special Surgery, New Yortk, NY, USA.
J Am Acad Orthop Surg. 2013 Jun;21(6):355-63. doi: 10.5435/JAAOS-21-06-355.
Spondylarthritis, which includes conditions such as ankylosing spondylitis and psoriatic arthritis, and rheumatoid arthritis are the most common forms of inflammatory arthritis. Joint inflammation and damage may result in the need for arthroplasty, and the surgeon must be aware of the perioperative challenges associated with these systemic diseases. In patients with inflammatory arthritis who have polyarticular disease and spinal involvement at the time of presentation for lower extremity arthroplasty, preoperative evaluation must include careful evaluation of all joints, including the cervical spine. Preoperative assessment and perioperative management must be appropriate to minimize cardiac and pulmonary complications. Finally, the perioperative management of medications used to manage inflammatory arthritis is critical because these medications may increase the risk of infection and compromise wound healing.
脊柱关节炎，包括强直性脊柱炎和银屑病关节炎等疾病，以及类风湿关节炎，是最常见的炎症性关节炎形式。关节炎症和损伤可能导致需要进行关节置换，外科医生必须了解与这些全身性疾病相关的围手术期挑战。对于在进行下肢关节置换时表现出多关节疾病和脊柱受累的炎症性关节炎患者，术前评估必须包括仔细评估所有关节，包括颈椎。术前评估和围手术期管理必须适当，以最大限度地减少心脏和肺部并发症。最后，用于治疗炎症性关节炎的药物的围手术期管理至关重要，因为这些药物可能会增加感染风险并影响伤口愈合。
