Rheumatism operations in a state of flux-"Foot"

Surgical management of rheumatic feet has dramatically changed over the last decades influenced by the development of new pharmacological drugs and tissue-preserving surgical procedures. It has switched from joint resection to joint-sparing procedures as the method of choice. Nevertheless, the surgi...

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Bibliographic Details
Published in:Zeitschrift für Rheumatologie 2018-12, Vol.77 (10), p.874
Main Authors: Baier, C, Schwarz, T, Schaumburger, J, Leiß, F, Grifka, J, Maderbacher, G
Format: Article
Language:ger
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Summary:Surgical management of rheumatic feet has dramatically changed over the last decades influenced by the development of new pharmacological drugs and tissue-preserving surgical procedures. It has switched from joint resection to joint-sparing procedures as the method of choice. Nevertheless, the surgical interventions commonly used for non-rheumatic patients cannot be applied to rheumatic patients without reflection: in addition to the basic treatment, comorbidities, degree of mobilization of the patient, orthopedic shoe engineering and orthotic treatment play a major role. Due to the decreasing incidence of the classical rheumatic foot, it has become even more important for physicians, physiotherapists and ergotherapists to recognize the development of such a disease as early as possible and immediately start the appropriate treatment.
ISSN:1435-1250
DOI:10.1007/s00393-018-0528-0