Author | Benjamin, Alexander. author |
---|---|
Title | Surgical Repair and Reconstruction in Rheumatoid Disease [electronic resource] / by Alexander Benjamin, Basil Helal, Stephen A. Copeland, Jo C. W. Edwards |
Imprint | London : Springer London, 1993 |
Edition | Second Edition |
Connect to | http://dx.doi.org/10.1007/978-1-4471-1942-5 |
Descript | XVII, 251p. 235 illus. online resource |
1 General Considerations -- The Route to the Surgeon -- Diagnosis and Assessment -- Course of the Disease -- Communication -- Assessment of the Results of Surgery -- Bacterial Infection and Septic Arthritis -- Corticosteroids -- Bed Rest -- Psychological Factors -- Physiotherapy -- Surgical Trends -- 2 Aetiology and Pathology -- Aetiology -- The Causes of Rheumatoid Arthritis -- Disease Mechanisms -- The Nature of the Connective Tissue Lesion -- A General Disease Mechanism -- Targets for Drug Action -- Rationale for Synovectomy -- Synovitis Following Arthroplasty -- Synovial Biopsy -- Synovial Fluid Examination -- Lesions in Other Tissues -- Seronegative Spondarthropathies -- Systemic Lupus Erythematosus -- 3 Selection -- Assessment of the Specific Problem -- Surgical Selection -- Which Operation? -- How Soon? -- What Order? -- How Many? -- Recording a Decision -- 4 The Link with Medical Management -- The Physicianโs Plan of Care -- Systemic Features and Associated Medical Problems -- Rheumatological Emergencies -- Children with Rheumatic Disease -- Summary -- 5 Perioperative Care -- Preoperative Assessment -- Preoperative Investigation -- The Immediate Preoperative Period -- Drugs in the Perioperative Period -- Care During Surgery -- Postoperative Care -- 6 Synovectomy -- Damage Produced by Synovitis -- Treatments of Synovitis and Synovial Hypertrophy -- Osteotomy -- Surgical Synovectomy -- Recurrent Synovitis after Synovectomy -- Children -- Seronegative Arthropathies -- Conclusion -- 7 Osteotomy -- Jaw -- Action of Osteotomy -- Operative Technique -- Total Replacement or Osteotomy? -- 8 Arthroplasty -- Excision Arthroplasty -- Excision Arthroplasty Following Failed Total Joint Replacement -- Soft Tissue Interposition Arthroplasty -- Replacement by Massive Cadaveric Grafts -- Replacement by Prosthesis -- Failure of Total Joint Replacement -- Surgery After Failure of a Prosthesis -- 9 Arthrodesis -- Cervical Spine -- Shoulder -- Elbow -- Wrist -- Carpometacarpal Joint of the Thumb -- Metacarpophalangeal Joint of the Thumb -- Interphalangeal Joint of the Thumb -- Proximal Interphalangeal Joints of the Fingers -- Distal Interphalangeal Joints of the Fingers -- The Hip -- The Knee -- The Ankle -- Subtaloid Joint -- Midtarsal Joints -- Metatarsophalangeal Joints -- Proximal Interphalangeal Joints of the Toes -- Distal Interphalangeal Joints of the Toes -- 10 The Spine -- Pathology -- Clinical Features -- Imaging of the Rheumatoid Spine -- Conservative Management -- Psychological Support -- Surgical Management -- Dorsal and Lumbar Spine -- Ankylosing Spondylitis -- 11 The Shoulder -- Progression of Joint Damage -- Rotator Cuff Impingement -- Acromioclavicular Joint -- Sternoclavicular Joint -- Glenohumeral Joint -- Conclusion -- 12 The Elbow -- Extra-articular Disease -- Intra-articular Disease -- Arthrodesis -- Arthroplasty -- Conclusion -- 13 The Wrist -- The Carpal Tunnel -- The Long Flexor Tendons -- The Long Extensor Tendons -- De Quervainโs Disease -- Deformity at the Wrist -- Surgical Options -- 14 The Hand -- Assessment and Priorities in Rheumatoid Hand Surgery -- Patterns of Disease -- Soft Tissue Swellings -- Synovitis -- Genesis of Joint Deformity -- Arthroplasty in the Hand -- Arthrodesis -- The Rheumatoid Thumb -- The Jaccoud Hand -- Operative Techniques -- Conclusion -- 15 The Hip -- Surgical Priority -- Synovectomy -- Adductor Tenotomy -- Osteotomy -- Excision Arthroplasty -- Hemiarthroplasty -- Total Hip Replacement -- 16 The Knee -- Examination -- Conservative Treatment -- Operative Treatment -- Conclusion -- 17 The Ankle and Foot -- Clinical Assessement -- Aims of Surgery -- Perioperative โTipsโ -- Ankle and Hindfoot -- Mid-foot -- Forefoot -- Toe Deformities -- Vascular and Neurological Problems -- 18 The Rheumatoid in Society -- Prevalence -- Aids to Daily Living -- Diet -- Work -- Mobility -- Recreation -- Sexual Problems -- Planned Motherhood -- The More Disabled Person -- Conclusion -- Author Index