Perioperative management of patient with late rheumatoid arthritis and post-bone tuberculosis with genu contracture undergoing tenotomy
نویسندگان
چکیده
Background: Rheumatoid arthritis (RA) is an autoimmune and inflammatory disease that potentially attacks all parts of the human body. Despite use disease-modifying anti-rheumatic drugs (DMARDs), rate total knee arthroplasty (TKA) remains high. Critical complications such as infection, dislocation, readmission following TKA are also reportedly high therefore, appropriate management during perioperative period critical. We reported a patient with late RA genu contracture underwent tenotomy. Case Presentation: A 22-year-old male was referred to Dr. Soetomo General Hospital chief complaint pain in right left groin. He complained immobilization stiffness both knees. had been diagnosed bone tuberculosis 2014 replacement knees 2015 due inability walk. Radiography examination indicated erosion loss joint spaces joints hip, fingers, toes. Laboratory investigation showed positive anti-mutated citrullinated vimentin (anti-MCV), confirming RA. The tenotomy surgery treated methylprednisolone 4 mg peroral daily, chloroquine 250 natrium diclofenac reduce pain. Tenotomy performed. Considering activity, conventional DMARDs (chloroquine low dose steroid, 1x4mg peroral) were prescribed. Conclusion: case highlights complexity required multiple disciplines. Therefore, interdisciplinary collaborative team critical be able achieve optimal results patient.
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second patient with seronegative rheumatoid arthritis and treatment with diet
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ژورنال
عنوان ژورنال: Bali Medical Journal
سال: 2022
ISSN: ['2089-1180', '2302-2914']
DOI: https://doi.org/10.15562/bmj.v11i2.3443