Rheumasurgery

Rheumasurgery - sometimes called rheumatoid surgery - is a subfield of orthopedics occupied with the surgical treatment of patients with rheumatic diseases.[1] The purpose of the interventions is to limit disease activity, sooth pain and improve function.[2]

Rheumasurgical interventions can be divided in two groups. The one is early synovectomies, that is the removal of the inflamed synovia in order to prevent spreading and stop destruction. The other group is the so-called corrective intervention, i.e. an intervention done after destruction has taken place.[3] Among the corrective interventions are joint replacements, removal of loose bone or cartilage fragments, and a variety of interventions aimed at repositioning and/or stabilizing joints,[4] such as arthrodesis.

Historical development

Rheumasurgery emerged in the cooperation of rheumatologists and orthopedic surgeons in Heinola, Finland, during the 1950s.[5]

In 1970 a Norwegian investigation estimated that at least 50% of patients with rheumatic symptoms needed rheumasurgery as an integrated part of their treatment.[6]

The European Rheumatoid Arthritis Surgical Society (ERASS) was founded in 1979.[7]

Around the turn of the century, focus for treatment of patients with rheumatic disease shifted, and pharmacological treatment became dominant, while surgical interventions became rarer.[8][9]

References

  1. ↑ "Norsk forening for revmakirurgi - Med hovedbase på Diakonhjemmet" LB Johannessen Tidsskr Nor Lægeforen 2004; 124:3110 Nr. 23 – 2. December 2004
  2. ↑ Rheumakirurgi. Arne Skredderstuen November 2000
  3. ↑ Den sykehusmessige revmatikeromsorgen i Norge (Kåss and Stene 1970), page 24.
  4. ↑ "Surgery for Rheumatic Diseases" Cedars Sinai (http://www.cedars-sinai.edu)
  5. ↑ Revmatisme: Gamle plager - ny viten (Munthe and Larsen 1987), page 49.
  6. ↑ Den sykehusmessige revmatikeromsorgen i Norge (Kåss and Stene 1970), pages 24-25.
  7. ↑ Rydholm, U "Reumakirurgiens uppgång, stabilisering og nedgång ur ett sydsvenskt perspektiv" 2013
  8. ↑ Trender i revmakirurgisk behandling av pasienter med leddgikt og andre kronisk inflammatoriske leddsykdommer, Norsk Rheumabulletin 4/2012, pages 16-17.
  9. ↑ Nikiphorou E, Carpenter L, Morris S, et al. "Hand and foot surgery rates in rheumatoid arthritis have declined from 1986 to 2011, but large-joint replacement rates remain unchanged: results from two UK inception cohorts." Arthritis Rheumatol. 2014;66(5):1081-9. doi 10.1002/art.38344. PMID 24782174

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