Total knee and hip replacement in rheumatoid arthritis: A current trend
Total joint replacement (TJR) is a surgical procedure widely used in severe destructive joint damage. TJR of the knee and hip joint (TKR and THR respectively) occupies an important place in the complex treatment of rheumatoid arthritis (RA) and osteoarthritis (OA), and can significantly reduce pain...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
IMA PRESS LLC
2024-04-01
|
| Series: | Научно-практическая ревматология |
| Subjects: | |
| Online Access: | https://rsp.mediar-press.net/rsp/article/view/3553 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850043040407748608 |
|---|---|
| author | V. N. Khlaboshchina А. Е. Karateev Е. Yu. Polishchuk М. A. Makarov |
| author_facet | V. N. Khlaboshchina А. Е. Karateev Е. Yu. Polishchuk М. A. Makarov |
| author_sort | V. N. Khlaboshchina |
| collection | DOAJ |
| description | Total joint replacement (TJR) is a surgical procedure widely used in severe destructive joint damage. TJR of the knee and hip joint (TKR and THR respectively) occupies an important place in the complex treatment of rheumatoid arthritis (RA) and osteoarthritis (OA), and can significantly reduce pain and improve function in patients with severe structural joint damage due to an ineffectiveness of conservative therapy. In recent years, due to the development of the modern concept of active treatment of RA (treat-to-target) and the introduction of new classes of anti-inflammatory drugs, such as biologic disease modifying antirheumatic drugs and JAK inhibitors, the need for TJR in RA has begun to decrease. At the same time, the aging of the population, the increase in the number of patients with OA and the lack of generally approved pathogenetic therapy determine the increase of TKR/THR incidence in this disease. This review presents the long-term dynamics of the incidence of TKR and THR according to the national registers of different countries. The issues of the complication risks in patients with RA and OA, current recommendations for anti-rheumatic therapy in RA in the perioperative period are also considered. |
| format | Article |
| id | doaj-art-75ece0462a4f4ea3925d3fecdc7c4967 |
| institution | DOAJ |
| issn | 1995-4484 1995-4492 |
| language | Russian |
| publishDate | 2024-04-01 |
| publisher | IMA PRESS LLC |
| record_format | Article |
| series | Научно-практическая ревматология |
| spelling | doaj-art-75ece0462a4f4ea3925d3fecdc7c49672025-08-20T02:55:20ZrusIMA PRESS LLCНаучно-практическая ревматология1995-44841995-44922024-04-0162222723610.47360/1995-4484-2024-227-2362986Total knee and hip replacement in rheumatoid arthritis: A current trendV. N. Khlaboshchina0А. Е. Karateev1Е. Yu. Polishchuk2М. A. Makarov3V.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyTotal joint replacement (TJR) is a surgical procedure widely used in severe destructive joint damage. TJR of the knee and hip joint (TKR and THR respectively) occupies an important place in the complex treatment of rheumatoid arthritis (RA) and osteoarthritis (OA), and can significantly reduce pain and improve function in patients with severe structural joint damage due to an ineffectiveness of conservative therapy. In recent years, due to the development of the modern concept of active treatment of RA (treat-to-target) and the introduction of new classes of anti-inflammatory drugs, such as biologic disease modifying antirheumatic drugs and JAK inhibitors, the need for TJR in RA has begun to decrease. At the same time, the aging of the population, the increase in the number of patients with OA and the lack of generally approved pathogenetic therapy determine the increase of TKR/THR incidence in this disease. This review presents the long-term dynamics of the incidence of TKR and THR according to the national registers of different countries. The issues of the complication risks in patients with RA and OA, current recommendations for anti-rheumatic therapy in RA in the perioperative period are also considered.https://rsp.mediar-press.net/rsp/article/view/3553total joint replacementrheumatoid arthritisosteoarthritisepidemiologyrisk factorspostoperative complications |
| spellingShingle | V. N. Khlaboshchina А. Е. Karateev Е. Yu. Polishchuk М. A. Makarov Total knee and hip replacement in rheumatoid arthritis: A current trend Научно-практическая ревматология total joint replacement rheumatoid arthritis osteoarthritis epidemiology risk factors postoperative complications |
| title | Total knee and hip replacement in rheumatoid arthritis: A current trend |
| title_full | Total knee and hip replacement in rheumatoid arthritis: A current trend |
| title_fullStr | Total knee and hip replacement in rheumatoid arthritis: A current trend |
| title_full_unstemmed | Total knee and hip replacement in rheumatoid arthritis: A current trend |
| title_short | Total knee and hip replacement in rheumatoid arthritis: A current trend |
| title_sort | total knee and hip replacement in rheumatoid arthritis a current trend |
| topic | total joint replacement rheumatoid arthritis osteoarthritis epidemiology risk factors postoperative complications |
| url | https://rsp.mediar-press.net/rsp/article/view/3553 |
| work_keys_str_mv | AT vnkhlaboshchina totalkneeandhipreplacementinrheumatoidarthritisacurrenttrend AT aekarateev totalkneeandhipreplacementinrheumatoidarthritisacurrenttrend AT eyupolishchuk totalkneeandhipreplacementinrheumatoidarthritisacurrenttrend AT mamakarov totalkneeandhipreplacementinrheumatoidarthritisacurrenttrend |