Rheumatoid Arthritis through an Orthopaedic Lens

Rheumatoid arthritis (RA), a form of inflammatory arthritis, is a persistent condition that results in discomfort and rigidity in numerous joints across the body. While it can impact any joint, it typically originates in the small joints of the hands and feet. Moreover, it tends to affect mirrored joints on both sides of the body, such as both knees or both hands.

While there is currently no cure for rheumatoid arthritis, a variety of treatments exist to alleviate joint pain and enhance overall function. Proper medical care plays a crucial role in halting the progression of the disease. In cases where rheumatoid arthritis has a significant impact on joints, despite medical treatment, orthopaedic procedures, performed by doctors like Dr Andre Olivier, can effectively enhance function, mobility, and overall quality of life.

Surgical Treatment of RA.

As part of your visit to Dr Andre Olivier’s office, he will take a complete medical history as well as a physical examination, looking for signs of RA such as swollen or tender joints, limitation of joint motions, early deformity and tendon ruptures. There are several orthopaedic surgery options available to ease the discomfort and relieve pain associated with RA.

Read along as we delve into these options.

Synovectomy 

During a synovectomy, Dr Olivier will remove the damaged lining of a joint affected by RA to alleviate discomfort and inflammation. This approach is most successful when the condition has not yet progressed to damaging the protective cartilage between bones, and is primarily used during the initial phase of RA. However, it should be noted that without continued proper medical care, synovitis can reoccur. Thankfully, with advancements in medical treatments, synovectomy is now becoming less necessary.

Tendon Surgery

Reconstructive surgery is a viable option for restoring function in cases of tendon rupture. This procedure has been proven to be highly effective in addressing issues such as trigger fingers, tenosynovitis and tight tunnels in the hand and wrist. It may involve a partial release of tight tunnels, excision of flexor tendons or a tenosynovectomy to prevent further ruptures.

Joint Rebalancing

During the initial development of RA, it is common for joints to become unstable, particularly in the small joints of the hands and fingers. This can result in deformities and contractures, which restrict function. If the cartilage remains intact, there are surgical techniques that Dr Olivier can use to loosen tight structures, relocate tendons, and tighten loose ligaments to realign the joint and enhance function. In cases of larger joints, corrective measures are necessary during joint replacement surgery to correct any distortions or contractures.

Fusion

The most frequent surgical procedure for RA is a fusion of the affected joints, where two bones are merged into one to create a single bone. This method is primarily utilised in the foot and hand joints, as it effectively relieves symptoms without compromising function.

When joint replacement is an option, it is rare for fusions to be performed in the major joints of the elbow, shoulder, hip, and knee due to their crucial role in maintaining mobility for optimal functioning. Moreover, ankle replacement has emerged as a suitable alternative.

Joint Replacement Surgery

Joint replacement surgery, performed by Dr Andre Olivier, can greatly improve joint mobility without pain. The procedure involves replacing damaged cartilage and bone with new metal or plastic surfaces, effectively restoring joint function. For major joints such as the elbow, shoulder, hip, and knee, this surgery can be life-changing, enabling an active lifestyle rather than a life of disability.

Rheumatoid arthritis can lead to a variety of disabling symptoms, including severe joint damage. Fortunately, Dr Andre Olivier and his surgical team are equipped to alleviate your discomfort, improve your range of motion, and restore the pleasure of everyday activities.

Contact Dr Olivier’s office situated at Vergelegen Mediclinic Somerset West at 021 850 6398 or admin@newlimb.co.za to make an appointment.

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