title: [Surgical reconstruction of joint function].
abstract: In recent years a concept of "treat to target" is introduced into a medical treatment of RA, and tight control is recommended from the early stage of the disease. However, it is difficult to relieve all patients in a true remission. Nowadays, disease activity is controlled well and a reconstructive surgery is performed at a limited number of the damaged joints in a state of good remaining of bone and soft tissue structures. The patients are highly motivated, and a newly developed disorder at the non-surgically treated joints is uncommon. Therefore, an aggressive rehabilitation is possible. Combined with a medical treatment of RA, a surgical intervention enables to acquire a higher level of ADL and an improved QOL (Japanese T2T).
authors: Department of Rheumatology, Niigata Rheumatic Center.
authors: Hajime
authors: H
authors: Ishikawa
mesh_terms: D001172:Arthritis, Rheumatoid / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001175:Arthrography / Q000379:methods; D001842:Bone and Bones / Q000601:surgery; D006801:Humans; D007596:Joints / Q000503:physiopathology / Q000601:surgery*; D019651:Plastic Surgery Procedures; D016896:Treatment Outcome