Goldie I
Clin Orthop Relat Res. 1984 Dec(191):185-92.
Over the years, orthopedic surgery has become more involved in the care of the rheumatoid patient. A more active and aggressive attitude by orthopedic surgeons has thrown new light on the handling of the rheumatoid patient. Currently, the surgical treatment of rheumatoid arthritis is evaluated not only by the outcome of a procedure on a single skeletal part but also by the generalized effects of the disease on the activity of the patient and the function of neighboring joints. Soft-tissue procedures, such as synovectomy and release operations, have been beneficial. Prosthetic surgery yields satisfactory results, and every effort should be made to give the rheumatoid patient as long a period as possible with relief of pain and increased mobility.
多年来，整形外科在类风湿患者的护理中发挥着越来越重要的作用。整形外科医生更加积极主动的态度为类风湿患者的治疗带来了新的思路。目前，类风湿关节炎的外科治疗不仅依据单个骨骼部位手术的结果来评估，还依据疾病对患者活动能力和相邻关节功能的整体影响来评估。诸如滑膜切除术和松解手术等软组织手术已显示出益处。假体手术也取得了令人满意的效果，应尽一切努力让类风湿患者尽可能长时间地缓解疼痛并提高活动能力。
