Modern methods of surgical treatment of patients with rheumatic diseases


DOI: https://dx.doi.org/10.18565/therapy.2024.1.85-91

Makarov M.A., Roskidailo A.A.

V.A. Nasonova Research Institute of Rheumatology, Moscow
Abstract. The purpose of current review is to describe the general principles and tactics of musculoskeletal system surgical treatment in patients with joint inflammatory diseases, to differentiate surgical operations depending on the severity and reversibility of the damage of joint structures and periarticular tissues. To do this, we analyzed foreign and domestic literature on the problem of surgical treatment of joints in patients with rheumatic diseases (RD), and emphasized current tendencies in rheumatic orthopedics. It could be stated that despite success in conservative treatment of autoimmune pathology, surgical treatment is also required for patients at different stages of RD. At early stages, synovectomy or tenosynovectomy is usually performed; in case of advanced erosive damage of the joint, the operation of choice is endoprosthetics; in some cases, joint arthrodesis is performed. Surgical treatment of joint pathology both in the early (organ-preserving operations) and late stages (endoprosthetics, arthrodesis) is a reliable and effective method of treating RD, allowing to avoid disability in young patients, improve their quality of life, as well as the function of the upper and lower extremities.

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About the Autors


Maxim A. Makarov, MD, PhD (Medicine), head of the Department of rheumatic orthopedics, V.A. Nasonova Research Institute of Rheumatology. Address: 115522, Moscow, 34a Kashirskoe Highway.
E-mail: ortopedniir@mail.ru
ORCID: https://orcid.org/0000-0002-5626-7404
Anastasia A. Roskidailo, MD, PhD (Medicine), researcher at the Department of rheumatic orthopedics, V.A. Nasonova Research Institute of Rheumatology. Address: 115522, Moscow, 34a Kashirskoe Highway.
E-mail: roskidailo@mail.ru
ORCID: https://orcid.org/0000-0003-4927-4291


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