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Rheumatoid arthritis arthroplast

S Seitz, W Rüther
Rheumatoid arthritis is often accompanied by massive destruction of the smaller and larger joints even with early therapy using antirheumatic drugs. In these cases total joint arthroplasty is the only surgical option, especially for the knee and hip joint. Knowledge of the specific disease-related postoperative characteristics is a prerequisite for the successful treatment of patients with rheumatoid arthritis. As dislocation of the arthroplastic joint does not occur more often in rheumatoid arthritis, the risk of periprosthetic infection is increased due to the use of biologicals...
October 2012: Zeitschrift Für Rheumatologie
Suran Yang, Yuya Takakubo, Shinji Kobayashi, Tamon Asano, Akiko Sasaki, Kan Sasaki, Hiroharu Ohki, Yasunobu Tamaki, Michiaki Takagi
BACKGROUND: Minocycline-induced pigmentation of bone (black bone) is well described in tooth-bearing intra-oral bone, but is less known in periarticular bone in patients who have undergone total joint arthroplasty. On a retrospective basis, we investigated the short-term clinico-radiological results of total joint arthroplasties in which the patient developed minocycline-induced periarticular black bone. METHODS: We found 5 cases (0.08%), in 4 patients, of periarticular bone pigmentation revealed during total joint arthroplasties (2 hips, 2 knees, and 1 ankle) in our series of total joint surgeries (6,548 cases) over a 10-year time period in our 3 institutes...
September 2012: Clinics in Orthopedic Surgery
Bin Xu, Hong-gang Xu
OBJECTIVES: To investigate the morbility rate of deep venous thrombosis (DVT) after lower extremity surgery and analyze the risk factors. METHODS: All 136 cases of lower extremity surgeries in the period of Nov. 1999 to May. 2002 without any anti-coagulopathy agents pre-surgery were analyzed. There were 78 male and 58 female, aged from 16 to 82 years with an average age of 49.5 years. All the cases were examined by sonography before the surgery to rule out bilateral deep venous thrombosis, and were examined bilateral lower extremities with inverse phlebography postoperation, and finally the results were used to analyze the risk factors of DVT...
November 2008: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
George S Athwal, Bernard F Morrey
BACKGROUND: Fractures of total elbow arthroplasty components are uncommon, and the literature provides little guidance regarding the management and outcomes of treatment of these complications. The goal of this report was to investigate the prevalence and management of fractures of ulnar and humeral components following total elbow arthroplasty and to review our experience with cement-within-cement reconstruction for revision following such fractures. METHODS: Between 1979 and 2003, twenty-four patients with a total of twenty-seven fractured total elbow arthroplasty components (seventeen ulnar and ten humeral) of different designs presented to our institution...
September 2006: Journal of Bone and Joint Surgery. American Volume
Hans Rahme
The Kudo prosthesis is the most commonly used elbow implant in Sweden. However, there are few reports of the results, besides those reported by Kudo himself. I have implanted 30 Kudo type 4 or 5 elbow prostheses in 28 patients with rheumatoid arthritis. 3 arthroplastics were revised, 2 because of loosening and 1 because of a periprosthetic ulnar fracture. 6 major peroperative or early postoperative complications occurred, but only 1 of these was a failure. 2 patients developed postoperative ulnar neuropathy, one was transient and the other patient died 1 year after surgery...
June 2002: Acta Orthopaedica Scandinavica
C W Olcott, R D Scott
A total of 100 consecutive posterior cruciate-retaining total knee arthroplastics were performed in 81 patients with an average age of 69 years by 1 surgeon. Diagnoses included osteoarthritis in 93 knees and rheumatoid arthritis in 7 knees. The femoral alignment necessary to create a rectangular flexion gap was determined and compared with Whiteside's line, the transepicondylar axis, and a line in 3 degrees of external rotation relative to the posterior condyles of the femur. The transepicondylar axis most consistently recreated a balanced flexion space, whereas 3 degrees of external rotation off the posterior condyles was least consistent, especially in valgus knees...
January 2000: Journal of Arthroplasty
T Dapić, M Pećina
Hundred and forty two porous-coated anatomic (PCA) total condylar arthroplasties were performed from 1985 to 1991 in hundred and twenty-four patients, ninety-seven women and twenty-seven men. The diagnosis was osteoarthritis in 96 cases and rheumatoid arthritis in 46 cases. The mean follow-up was 88 months, range from 51 to 137 months. All operated patients were evaluated based on survivorship of the endoprosthesis with the cumulative survivorship method according to Kaplan-Meier method. The end point was defined as endoprosthesis in situ...
May 1998: Lijec̆nic̆ki Vjesnik
J Zacher, T Pauly, K L Schmidt, R Wetzel
The treatment of rheumatic disease requires an interdisciplinary approach in which the orthopedic surgeon is also involved. His contribution includes both conservative and operative procedures. Early synovectomy applied to joints and tendons is considered a preventive measure. Arthroscopic synovectomy belongs in the hands of an experienced operator. Joints that are not directly involved in weight-bearing can be treated by means of arthroplastic procedures, provided the cooperation of the patient is ensured...
September 20, 1997: Fortschritte der Medizin
J P Delagoutte
On the basis of a series of 100 cases of rheumatoid foot, the author details the present surgical indications. As concerns the big toe, he feels that the installation of a Swanson type implant does not bring a marked improvement compared to the simple arthroplastic resection of the Keller type, since it does not seem that the mobility is improved in the long run. As for the lesions af the external toes, the synovectomy stage is almost always bypassed and he suggests the use of Lelievre realignment. He concludes by insisting on the aims of this surgery, which should basically be an improvement of walking, greater comfort in wearing shoes, and a decrease in pain...
February 1980: Revue du Rhumatisme et des Maladies Ostéo-articulaires
N Gschwend, U Munzinger, U Wiedmer
There is hardly any other disorder where the possibility of replacing destroyed joints by artificial ones has transformed the functional outcome so decisively as in rheumatoid arthritis. The advances achieved in surgery may even be regarded as the most important result of any research on rheumatoid arthritis as published in recent years. Arthroplastics account for almost half of all interventions in our own statistics which cover almost 6000 operations on patients with this disease. Surgical synovectomies account for more than 40 per cent, and various other techniques are used in only 10 per cent of operations...
1982: International Rehabilitation Medicine
W Schwägerl
If no higher risk operation for the older patient is involved, indication for an arthroplastic joint prosthesis is given on the basis of today's large and world-wide experience. The postoperative mortality is naturally higher than with the younger patients and amounts to 2% in our statistics. A smooth cooperation between the internist and the orthopaedic surgeon enables also to the older patients with higher risk operations, especially thanks to the modern anaesthetic possibilities (f.i. lumbar anaesthetics), a functional recovery of the joint...
July 1983: Aktuelle Gerontologie
E T Skliarenko, G F Martynenko
No abstract text is available yet for this article.
June 1971: Ortopediia Travmatologiia i Protezirovanie
S Elsasser, P Dalquen, M Soler, A P Perruchoud
A 71-year-old man with a long-standing history of rheumatoid arthritis required methotrexate treatment since 1986, with a total dose of 210 mg. In April 1987, before arthroplastic surgery, methotrexate was discontinued. Four weeks later a syndrome of fever, dry cough, shortness of breath, and diffuse air-space consolidations on the chest radiograph evolved. An antibiotic therapy had no beneficial effect, and a bronchoscopy yielded no pathogens. An open lung biopsy led to the diagnosis of methotrexate-induced pneumonitis...
October 1989: American Review of Respiratory Disease
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