The feasibility and consideration of surgical treatment for rheumatological arthritis patients The rheumatitis arthritis is a common form of chronic self-immuno-immunological disease, mainly manifested in arthritis, pain, malformation and functional impairment. Drug treatment dominates traditional treatment models, but surgical treatment is a worthwhile option for some patients who are seriously ill or who are less effective in drug treatment.
Surgery has a specific place and role in the system of treatment for rheumatism arthritis. Surgery can be an important means of intervention when joint pathologies develop to a certain extent, such as severe joint malformations, loss of functionality and the inability of drug treatment to effectively improve joint conditions. For example, in the case of persons with advanced knee arthritis, joint replacement can significantly improve the functioning of the joint, reduce pain and improve the self-care capacity and quality of life of the patient. Hand malformations caused by rheumatological arthritis, such as tilts on the side of the ruler, deformations of the swan neck, etc., can also be corrected by hand-orthopaedic surgery, which restores part of the hand function and allows the patient to perform fine daily actions.
However, not all persons with rheumatism arthritis are eligible for immediate surgical treatment. The management of surgical adaptation is critical. In general, patients are subject to systematic medication and are in a relatively stable period, i.e. arthritis is controlled to a certain extent, and indicators of inflammation, such as blood sunk and C-reactive protein, are close to normal. The risk of post-operative infections increases significantly and the effect of the procedure is difficult to ensure if the patient is in a period of acute activity during which he/she has a strong overall inflammation response. At the same time, the overall state of the patient ‘ s body requires that he/she be able to withstand surgery, including essential organs such as CPR, liver and kidney functions, which are generally normal. For example, for patients who combine severe heart disease, lung disease or liver or kidney failure, the risk of surgery may be far greater than its potential benefits and may need to be fully assessed and adjusted before surgical treatment can be considered.
Surgery treatments are diverse, with their relevance and advantages and disadvantages. The replacement of joints is a more common one and applies to cases of severe damage to large joints such as hips, knees, etc. It is able to effectively re-establish the anatomy structure and function of the joints, but the surgical trauma is relatively high, the post-operative recovery period is long and there is a risk of long-term complications such as the relaxing and wear and tearing of the prosthesis. The combination of joints is used mainly for certain small joints or special joints, such as wristbands or neck vertebrates, to remove pain by fixing the joints to a specific position, but may result in loss of function of the joints. The arthroscope surgery is a micro-organised operation that can be used for the clean-up and repair of early joint pathologies, such as the removal of inflammatory muscular tissue within the joint, the repair of the damaged half-month sheet, etc., which has the advantage of small trauma and quick recovery, but has limited corrective effect on severe arthropod abnormalities in the later period.
When considering surgical treatment, patients with rheumatological arthritis should have adequate communication and discussion with multidisciplinary teams such as rheumatologists and osteoporologists. Doctors make a comprehensive assessment of the patient ‘ s condition, physical condition, expected effects of treatment and the risk of surgery and develop individualized treatment programmes. Patients also need to have a clear understanding of the pros and cons of the operation and to cooperate actively with pre-operative preparation and post-operative rehabilitation training. Post-operative rehabilitation training, which is also crucial for the restoration of joint functions and for improving the effectiveness of operations, should be carried out in a gradual manner, under the guidance of a professional rehabilitation therapist, with rehabilitation components such as joint activity training and muscle force training, in order to promote maximum restoration of joint functions, reduce the occurrence of complications and make surgical treatment truly work to improve the quality of life of persons with rheumatism.
