Current Concept of Surgical Management for Rheumatoid Arthritis of the Wrist

Woo,  Sung Jong; Park,  Min Jong

doi:2013.18.4.196

Arch Hand Microsurg > Volume 18(4); 2013 > Article

Review

Journal of the Korean Society for Surgery of the Hand 2013;18(4):196-205.
Published online December 30, 2013.
DOI: https://doi.org/10.12790/jkssh.2013.18.4.196

Current Concept of Surgical Management for Rheumatoid Arthritis of the Wrist

Sung Jong Woo, Min Jong Park

Deparment of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. mjp3506@skku.edu

Received: 10 November 2013 • Revised: 10 December 2013 • Accepted: 12 December 2013

Abstract

Rheumatoid arthritis is a systemic inflammatory disorder inducing multiple joint destruction. The wrist joint is frequently involved in early stage and proper management can preserve the ability to maintain a daily living and to work. Advances in medical treatment modalities can halt most joint destruction, however, not in all instances of joint inflammation and deformities. Most patients want to improve their own functional disability, pain, aesthetic problems in addition to medication. We review the current concept of rheumatoid wrist surgery and discuss the surgical treatment strategies for optimizing outcomes for patients with rheumatoid wrist.