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DOI: 10.1055/s-0037-1607239
Cirugía de la mano reumática: nuevas expectativas para una vieja conocida
Rheumatic Hand Surgery: New Expectations for an Old AcquaintancePublication History
07 August 2017
11 September 2017
Publication Date:
16 October 2017 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00033287/201702/lookinside/thumbnails/10-1055-s-0037-1607239_1700033-1.jpg)
Resumen
Es importante que todos los especialistas que tratan a pacientes afectados de artritis reumatoide (AR), conozcan las distintas opciones terapéuticas disponibles, tanto médicas como quirúrgicas, y su manejo en las distintas fases del tratamiento. Nuestro objetivo es actualizar lo que como cirujanos debemos saber sobre el tratamiento médico de la enfermedad, cómo manejar los fármacos durante la programación de la cirugía y cuál es la evidencia sobre las distintas opciones quirúrgicas que podemos barajar ante diversas situaciones originadas por un aparente mismo patrón: la sinovitis.
Abstract
It is important that all specialists involved in the treatment of rheumatoid arthritis (RA) patients are aware of the different medical and surgical options available and their management in the different phases of the disease. Our objective is to update what the surgeons should know about the medical treatment of the disease, how to handle the drugs during the programming of the surgery and what is the evidence about the different surgical options in the different situations originated by an apparent pattern, synovitis.
Confidencialidad de los Datos
El autor declara que en este artículo no aparecen datos de pacientes.
Derecho a la Privacidad y Consentimiento Informado
El autor declara que en este artículo no aparecen datos de pacientes.
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Bibliografía
- 1 Carmona L, Villaverde V, Hernández-García C, Ballina J, Gabriel R, Laffon A. ; EPISER Study Group. The prevalence of rheumatoid arthritis in the general population of Spain. Rheumatology (Oxford) 2002; 41 (01) 88-95 . Doi: 10.1093/rheumatology/41.1.88
- 2 Scott DL, Wolfe F, Huizinga TW. Rheumatoid arthritis. Lancet 2010; 376 (9746): 1094-1108 . Doi: 10.1016/s0140-6736(10)60826-4
- 3 Tanaka Y. Current concepts in the management of rheumatoid arthritis. Korean J Intern Med 2016; 31 (02) 210-218 . Doi: 10.3904/kjim.2015.137
- 4 Carmona L, Cross M, Williams B, Lassere M, March L. Rheumatoid arthritis. Best Pract Res Clin Rheumatol 2010; 24 (06) 733-745 . Doi: 10.1016/j.berh.2010.10.001
- 5 Brown M, Chung KC. Setting Priorities: The timing and indications for rheumatoid surgical procedures. En: Chung KC. (Ed). Clinical Management of the Rheumatoid Hand, Wrist, and Elbow. Springer Cham Heidelberg New York Dordrecht London; 2016. . doi: 10.1007/978-3-319-26660-2_4
- 6 Demoruelle MK, Deane KD. Treatment strategies in early rheumatoid arthritis and prevention of rheumatoid arthritis. Curr Rheumatol Rep 2012; 14 (05) 472-480 . Doi: 10.1007/s11926-012-0275-1
- 7 Sanmartí R, García-Rodríguez S, Álvaro-Gracia J. , et al. 2014 update of the Consensus Statement of the Spanish Society of Rheumatology on the use of biological therapies in rheumatoid arthritis. Reumatol Clin 2015; 11 (05) 279-294 . Doi: 10.1016/j.reuma.2015.05.001
- 8 Ortiz García A. Manejo de situaciones clínicas difíciles en pacientes con artritis reumatoide. Cirugía. Reumatol Clin 2009; 5 (Suppl. 01) 61-65 . Doi: 10.1016/j.reuma.2008.11.009
- 9 Ognenovski VM. Preoperative and Postoperative Medical Management for Rheumatoid Hand Surgery. En: Chung KC. (Ed). Clinical Management of the Rheumatoid Hand, Wrist, and Elbow. Springer Cham Heidelberg New York Dordrecht London; 2016. . doi: 10.1007/978-3-319-26660-2_3
- 10 Grennan DM, Gray J, Loudon J, Fear S. Methotrexate and early postoperative complications in patients with rheumatoid arthritis undergoing elective orthopaedic surgery. Ann Rheum Dis 2001; 60 (03) 214-217 . Doi: 10.1136/ard.60.3.214
- 11 Carmona L. Registro de acontecimientos adversos de terapias biológicas en enfermedades reumáticas: BIOBADASER. Rev Esp Reumatol 2004; 31 (04) 210-213
- 12 Berthold E, Geborek P, Gülfe A. Continuation of TNF blockade in patients with inflammatory rheumatic disease. An observational study on surgical site infections in 1,596 elective orthopedic and hand surgery procedures. Acta Orthop 2013; 84 (05) 495-501 . Doi: 10.3109/17453674.2013.842431
- 13 Kubota A, Nakamura T, Miyazaki Y, Sekiguchi M, Suguro T. Perioperative complications in elective surgery in patients with rheumatoid arthritis treated with biologics. Mod Rheumatol 2012; 22 (06) 844-848 . Doi: 10.1007/s10165-012-0612-2
- 14 Goodman SM. Rheumatoid arthritis: Perioperative management of biologics and DMARDs. Semin Arthritis Rheum 2015; 44 (06) 627-632 . Doi: 10.1016/j.semarthrit.2015.01.008
- 15 Herren D. Advances in the Medical Treatment of RA: What Surgeons Need to Know. En: Chung KC. (Ed). Clinical Management of the Rheumatoid Hand, Wrist, and Elbow. Springer Cham Heidelberg New York Dordrecht London; 2016. . doi: 10.1007/978-3-319-26660-2_1
- 16 Ryu J, Saito S, Honda T, Yamamoto K. Risk factors and prophylactic tenosynovectomy for extensor tendon ruptures in the rheumatoid hand. J Hand Surg [Br] 1998; 23 (05) 658-661 . Doi: 10.1016/S0266-7681(98)80022-3
- 17 Adams BD. Management of the distal radioulnarjoint in rheumatoid Arthritis. En: Chung KC. (Ed). Clinical Management of the Rheumatoid Hand, Wrist, and Elbow. Springer Cham Heidelberg New York Dordrecht London; 2016. . doi: 10.1007/978-3-319-26660-2_10
- 18 Allieu Y, Brahin B, Asencio G, Gomis R, Mailhe D. The surgical treatment of the rheumatoid wrist. Current perspectives. Ann Chir Main 1984; 3 (01) 58-65 . Doi: 10.1016/S0753-9053(84)80063-0
- 19 Lee HI, Lee KH, Koh KH, Park MJ. Long-term results of arthroscopic wrist synovectomy in rheumatoid arthritis. J Hand Surg Am 2014; 39 (07) 1295-1300 . Doi: 10.1016/j.jhsa.2014.04.022
- 20 Kim SJ, Jung KA. Arthroscopic synovectomy in rheumatoid arthritis of wrist. Clin Med Res 2007; 5 (04) 244-250 . Doi: 10.3121/cmr.2007.768
- 21 Lluch A. The sauvé-kapandji procedure. J Wrist Surg 2013; 2 (01) 33-40 . Doi: 10.1055/s-0032-1333465
- 22 De Smet L. The distal radioulnar joint in rheumatoid arthritis. Acta Orthop Belg 2006; 72 (04) 381-386
- 23 Stevens JC, Beard CM, O'Fallon WM, Kurland LT. Conditions associated with carpal tunnel syndrome. Mayo Clin Proc 1992; 67 (06) 541-548 . Doi: 10.1016/s0025-6196(12)60461-3
- 24 Geoghegan JM, Clark DI, Bainbridge LC, Smith C, Hubbard R. Risk factors in carpal tunnel syndrome. J Hand Surg [Br] 2004; 29 (04) 315-320 . Doi: 10.1016/j.jhsb.2004.02.009
- 25 Adkinson JM. Upper extremity compression neuropathies in rheumatoid patients. En Chung KC. (Ed). Clinical Management of the Rheumatoid Hand, Wrist, and Elbow. SpringerCham Heidelberg New York Dordrecht London; 2016. . doi: 10.1007/978-3-319-26660-2_5
- 26 Martínez-Villén G, Herráiz I, García E, Manero FJ, Herrera A. Indicación y resultados del tratamiento quirúrgico y rehabilitador en la ráfaga cubital reumática muy avanzada. Rev Iberam Cir Mano 2009; 37 (02) 73-80
- 27 Chung KC, Kotsis SV, Burns PB. , et al. Seven-year outcomes of the silicone arthroplasty in rheumatoid arthritis prospective cohort study. Arthritis Care Res (Hoboken) 2017; 69 (07) 973-981 . Doi: 10.1002/acr.23105
- 28 Chung KC, Burns PB, Wilgis EF. , et al. A multicenter clinical trial in rheumatoid arthritis comparing silicone metacarpophalangeal joint arthroplasty with medical treatment. J Hand Surg Am 2009; 34 (05) 815-823 . Doi: 10.1016/j.jhsa.2009.01.018
- 29 Sousa JM, Oliveira F, Claro R, Cardoso P, Trigueiros M, Silva C. Mãoreumatóide: revisão de 124 próteses MCF de silicone. Rev IberamCir Mano 2010; 38 (01) 47-52
- 30 Boeckstyns ME. The Rheumatoid Thumb. En Chung KC. (Ed). Clinical Management of the Rheumatoid Hand, Wrist, and Elbow. SpringerCham Heidelberg New York Dordrecht London; 2016. . doi: 10.1007/978-3-319-26660-2_21
- 31 Novoa-Parra CN, Montaner-Alonso D, Morales-Rodríguez J. Artrodesis de la articulación metacarpofalángica del pulgar con tornillos intramedulares entrelazados de ángulo fijo XMCP™. Rev Esp Cir Ortop Traumatol 2017; . En prensa DOI: 10.1016/j.recot.2017.06.001.
- 32 Vanderzanden JC, Adams BD, Guan JJ. MCP arthrodesis using an intramedullary interlocking device. Hand (NY) 2014; 9 (02) 209-213 . Doi: 10.1007/s11552-013-9579-5
- 33 Renfree KJ, Lara D. Incidence of implant-related complications after arthrodesis of 30 thumb metacarpophalangeal joints with tension-band wires. J Hand Surg Eur Vol 2017; 42 (05) 523-524 . Doi: 10.1177/1753193416641631
- 34 Day CS, Ramirez MA. Thumb metacarpophalangeal arthritis: arthroplasty or fusion?. Hand Clin 2006; 22 (02) 211-220 . Doi: 10.1016/j.hcl.2006.02.010
- 35 Leibovic SJ. Instructional Course Lecture. Arthrodesis of the interphalangeal joints with headless compression screws. J Hand Surg Am 2007; 32 (07) 1113-1119 . Doi: 10.1016/j.jhsa.2007.06.010
- 36 Matheron AS, Gouzou S, Collon S, Bodin F, Facca S, Liverneaux P. Comparison of distal interphalangeal fusion with and without joint preparation in cases of stage IV chondropathy. Chir Main 2015; 34 (03) 134-140 . Doi: 10.1016/j.main.2015.03.002
- 37 Chan K, Ayeni O, McKnight L, Ignacy TA, Farrokhyar F, Thoma A. Pyrocarbon versus silicone proximal interphalangeal joint arthroplasty: a systematic review. Plast Reconstr Surg 2013; 131 (01) 114-124 . Doi: 10.1097/PRS.0b013e3182729f27
- 38 Adams J, Ryall C, Pandyan A. , et al. Proximal interphalangeal joint replacement in patients with arthritis of the hand: a meta-analysis. J Bone Joint Surg Br 2012; 94 (10) 1305-1312 . Doi: 10.1302/0301-620X.94B10.29035
- 39 Sweets TM, Stern PJ. Proximal interphalangeal joint prosthetic arthroplasty. J Hand Surg Am 2010; 35 (07) 1190-1193 . Doi: 10.1016/j.jhsa.2010.04.005
- 40 Herren DB. Current european practice in the treatment of proximal interphalangeal joint arthritis. Hand Clin 2017; 33 (03) 489-500 . Doi: 10.1016/j.hcl.2017.04.002
- 41 Wagner ER, Luo TD, Houdek MT, Kor DJ, Moran SL, Rizzo M. Revision proximal interphalangeal arthroplasty: an outcome analysis of 75 consecutive cases. J Hand Surg Am 2015; 40 (10) 1949-1955.e1 . Doi: 10.1016/j.jhsa.2015.05.015
- 42 Van Nuffel M, Degreef I, Willems S, De Smet L. Proximal interphalangeal joint replacement: resurfacing pyrocarbon versus silicone arthroplasty. Acta Orthop Belg 2014; 80 (02) 190-195
- 43 Bales JG, Wall LB, Stern PJ. Long-term results of Swanson silicone arthroplasty for proximal interphalangeal joint osteoarthritis. J Hand Surg Am 2014; 39 (03) 455-461 . Doi: 10.1016/j.jhsa.2013.11.008
- 44 Yamamoto M, Malay S, Fujihara Y, Zhong L, Chung KC. A systematic review of different implants and approaches for proximal interphalangeal joint arthroplasty. Plast Reconstr Surg 2017; 139 (05) 1139e-1151e . Doi: 10.1097/PRS.0000000000003260
- 45 Tägil M, Geijer M, Abramo A, Kopylov P. Ten years' experience with a pyrocarbon prosthesis replacing the proximal interphalangeal joint. A prospective clinical and radiographic follow-up. J Hand Surg Eur Vol 2014; 39 (06) 587-595 . Doi: 10.1177/1753193413479527
- 46 Alderman AK, Chung KC, Kim HM, Fox DA, Ubel PA. Effectiveness of rheumatoid hand surgery: contrasting perceptions of hand surgeons and rheumatologists. J Hand Surg Am 2003; 28 (01) 3-11 , discussion 12–13. Doi: 10.1053/jhsu.2003.50034
- 47 Garcia-Elias M, Lluch A, Ferreres A, Papini-Zorli I, Rahimtoola ZO. Treatment of radiocarpal degenerative osteoarthritis by radioscapholunate arthrodesis and distal scaphoidectomy. J Hand Surg Am 2005; 30 (01) 8-15 . Doi: 10.1016/j.jhsa.2004.09.001
- 48 Ishikawa H, Murasawa A, Nakazono K. Long-term follow-up study of radiocarpal arthrodesis for the rheumatoid wrist. J Hand Surg Am 2005; 30 (04) 658-666 . Doi: 10.1016/j.jhsa.2005.02.005
- 49 Motomiya M, Iwasaki N, Minami A, Matsui Y, Urita A, Funakoshi T. Clinical and radiological results of radiolunate arthrodesis for rheumatoid arthritis: 22 wrists followed for an average of 7 years. J Hand Surg Am 2013; 38 (08) 1484-1491 . Doi: 10.1016/j.jhsa.2013.05.007
- 50 Wei DH, Feldon P. Total wrist arthrodesis. Indications and clinical outcomes. J Am Acad Orthop Surg 2017; 25 (01) 3-11 . Doi: 10.5435/JAAOS-D-15-00424
- 51 Cavaliere CM, Chung KC. Total wrist arthroplasty and total wrist arthrodesis in rheumatoid arthritis: a decision analysis from the hand surgeons' perspective. J Hand Surg Am 2008; 33 (10) 1744-1755 , 1755.e1–1755.e2. Doi: 10.1016/j.jhsa.2008.06.022
- 52 Pfanner S, Munz G, Guidi G, Ceruso M. Universal 2 wrist arthroplasty in rheumatoid artritis. J Wrist Surg 2017; 6 (03) 206-215 . Doi: 10.1055/s-0037-1598637
- 53 Gil JA, Kamal RN, Cone E, Weiss AC. High survivorship and few complications with cementless total wrist arthroplasty at a mean followup of 9 Years. Clin Orthop Relat Res 2017; ••• DOI: 10.1007/s11999-017-5445-z.
- 54 Ferreres A, Lluch A, Del Valle M. Universal total wrist arthroplasty: midterm follow-up study. J Hand Surg Am 2011; 36 (06) 967-973 . Doi: 10.1016/j.jhsa.2011.03.034
- 55 Zachary SV, Stern PJ. Complications following AO/ASIF wrist arthrodesis. J Hand Surg Am 1995; 20 (02) 339-344 . Doi: 10.1016/S0363-5023(05)80037-1