Surgical Treatment of Juvenile Idiopathic Arthritis in the Era of Novel Drug Therapies
Abstract
:1. Introduction
2. Intra-Articular Corticosteroid Injection
3. Synovectomy
4. Soft Tissue Release
5. Surgery for Growth Disorders
6. Arthroplasty
- a.
- Total hip arthroplasty
- b.
- Total knee arthroplasty
- c.
- Others
7. Conclusions
Author Contributions
Funding
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Author | Design | Joint(s) | O/A | N | Age (Years) | Follow-Up (Years) | Complications | Pain | Function | Recurrence |
---|---|---|---|---|---|---|---|---|---|---|
Arden [30] | R | knee | O | 53 | 18 | 4.5 | hemarthroses (3.7%), stiffness (24%) | 84% no pain or slight pain | 84% excellent or good | Good results at one year but a sharp decrease afterwards |
Rydholm [31] | R | knee | O | 51 | 13 | 7.5 | wound infection (n = 2), mobilization under general anesthesia (n = 21) | 14 knees at last follow-up | ||
Kvien [32] | P | wrist/ankle knee | O | 30 (15 with synovectomy, 15 without) | 9.5–11.3 | 24 months | keloid scarring (n = 1), knee re-mobilization under general anesthesia (n = 2) | improvement | Improvement, but never as much as patients without synovectomy | |
Mäenpään [33] | R | elbow | O | 29 | 29 | 5 | wound infection (n = 1), stiffness (n = 1) | 44% with total pain relief | no significant improvement | 4 repeat synovectomies, 2 arthroplasties, survival rate of 84% at 5 years |
Hanff [34] | R | wrist | O | 15 | 15 | 3 | NA | 50% with less pain | increase in grip strength and decrease in range of motion | 11 radiographic deterioration, 4 arthrodesis |
Carl [35] | R | hip | O | 56 | 13.7 | 50 months | superficial hematoma (n = 2) | significant improvement | 85% with a very great or great improvement | Survival rate of 87%, 5 arthroplasties |
Dell’Era [36] | R | knee | A | 19 | 15.6 | 5.4 | Thrombophlebitis (n = 1), septic arthritis (n = 1) | NA | 75% for oligoarthritic patients two years after surgery | |
Jacobsen [37] | R | hip/knee/ ankle/wrist | O | 10/22/4/4 | 11.5 | 7.1 | stiffness (n = 6 knees) | slightly less than before surgery, at last follow-up | no improvement | 2 repeat knee synovectomies—arthroplasties (3 knees, 3 hips) |
Ovregard [38] | R | hip/knee/ ankle/wrist/ elbow/other | O | 212 | 11.6 | 3 | deformities (n = 9), growth disorders (n = 1), hypertrophic scarring (n = 1) | NA | response after 1–2 years, and then a decrease | |
Toledo [39] | R | knee/ shoulder temporomandibular | A | 19/1/2 | 9 | 57 months | NA | NA | good but not complete range of motion (shoulder) | 50% relapse at 24 months |
Ishwar [40] | R | wrist | A | 15 | 11.3 months | no complications | median VAS reduction of 4 points | grip strength and functional improvement |
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Klein, C.; Barbier, V.; Glorion, C.; Gouron, R. Surgical Treatment of Juvenile Idiopathic Arthritis in the Era of Novel Drug Therapies. J. Clin. Med. 2023, 12, 3402. https://doi.org/10.3390/jcm12103402
Klein C, Barbier V, Glorion C, Gouron R. Surgical Treatment of Juvenile Idiopathic Arthritis in the Era of Novel Drug Therapies. Journal of Clinical Medicine. 2023; 12(10):3402. https://doi.org/10.3390/jcm12103402
Chicago/Turabian StyleKlein, Céline, Vincent Barbier, Christophe Glorion, and Richard Gouron. 2023. "Surgical Treatment of Juvenile Idiopathic Arthritis in the Era of Novel Drug Therapies" Journal of Clinical Medicine 12, no. 10: 3402. https://doi.org/10.3390/jcm12103402
APA StyleKlein, C., Barbier, V., Glorion, C., & Gouron, R. (2023). Surgical Treatment of Juvenile Idiopathic Arthritis in the Era of Novel Drug Therapies. Journal of Clinical Medicine, 12(10), 3402. https://doi.org/10.3390/jcm12103402