前方的风湿病

Q4 Medicine

Fuss und Sprunggelenk Pub Date : 2025-09-01 DOI:10.1016/j.fuspru.2025.03.002

Kathryn Hassel, Alexandra Siemon

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引用次数: 0

摘要

慢性炎症和滑膜炎，有时会导致关节的快速破坏，区分风湿性足畸形和退行性足畸形。由于通过现代和不断发展的免疫调节疗法更好地控制疾病活动，保持关节的治疗方法可以应用更长的时间。然而，类风湿关节炎的发病率在世界范围内正在上升，因此继续关注这一特定患者群体是很重要的。类风湿关节炎患者手术治疗的时机和成功取决于疾病的缓解与可靠的活动控制或较低的疾病活动。需要一个多模式的概念来充分治疗风湿性足部畸形。

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Rheumaorthopädie am Vorfuß

Chronic inflammation and synovitis, which can sometimes lead to rapid destruction of the joints, distinguish rheumatic foot deformities from degenerative foot deformities. Due to better control of disease activity through modern and continuously evolving immunomodulatory therapies, joint-preserving treatment methods can be applied for a longer duration. Nevertheless, the incidence of rheumatoid arthritis is rising worldwide, so it is important to continue focusing on this specific patient group. The timing and successful surgical treatment of patients with rheumatoid arthritis depend on the remission of the disease with reliable activity control or a preferably low disease activity. A multimodal concept is needed to adequately treat rheumatic foot deformities.

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