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Nihon Rinsho. 2013 Jul;71(7):1276-80.

[Surgical reconstruction of joint function].

[Article in Japanese]

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  • 1Department of Rheumatology, Niigata Rheumatic Center.


In recent years a concept of "treat to target" is introduced into a medical treatment of RA, and tight control is recommended from the early stage of the disease. However, it is difficult to relieve all patients in a true remission. Nowadays, disease activity is controlled well and a reconstructive surgery is performed at a limited number of the damaged joints in a state of good remaining of bone and soft tissue structures. The patients are highly motivated, and a newly developed disorder at the non-surgically treated joints is uncommon. Therefore, an aggressive rehabilitation is possible. Combined with a medical treatment of RA, a surgical intervention enables to acquire a higher level of ADL and an improved QOL (Japanese T2T).

[PubMed - indexed for MEDLINE]
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