[Postoperative management of hip and knee endoprostheses].

TY - JOUR

T1 - [Postoperative management of hip and knee endoprostheses].

AU - Seitz, Sebastian

AU - Rüther, Wolfgang

PY - 2012

Y1 - 2012

N2 - 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. Therefore, a perioperative optimization is obligatory. In order to facilitate independence in daily living physiotherapy in combination with aids such as arthritis crutches, gripping pliers or raised toilet seat need to be started as soon as possible after surgical treatment. To achieve this goal it is recommended to refer patients with inflammatory arthritis to inpatient rehabilitation facilities. With respect to the specific postoperative treatment after joint replacement the long-term results are comparable with those from patients with primary osteoarthritis.

AB - 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. Therefore, a perioperative optimization is obligatory. In order to facilitate independence in daily living physiotherapy in combination with aids such as arthritis crutches, gripping pliers or raised toilet seat need to be started as soon as possible after surgical treatment. To achieve this goal it is recommended to refer patients with inflammatory arthritis to inpatient rehabilitation facilities. With respect to the specific postoperative treatment after joint replacement the long-term results are comparable with those from patients with primary osteoarthritis.

KW - Humans

KW - Postoperative Care/methods

KW - Physical Therapy Modalities

KW - Arthritis, Rheumatoid/complications/surgery

KW - Arthroplasty, Replacement, Hip/adverse effects

KW - Arthroplasty, Replacement, Knee/adverse effects

KW - Postoperative Complications/etiology/therapy

KW - Humans

KW - Postoperative Care/methods

KW - Physical Therapy Modalities

KW - Arthritis, Rheumatoid/complications/surgery

KW - Arthroplasty, Replacement, Hip/adverse effects

KW - Arthroplasty, Replacement, Knee/adverse effects

KW - Postoperative Complications/etiology/therapy

M3 - SCORING: Zeitschriftenaufsatz

VL - 71

SP - 670

EP - 679

JO - Z RHEUMATOL

JF - Z RHEUMATOL

SN - 0340-1855

IS - 8

M1 - 8

ER -