Surgical Treatment for Rheumatic Diseases
- 1. Inability to walk more than one block or stand longer than 20 to 30 minutes as a result of pain are indications for total hip and knee replacement.
- 2. Periprosthetic osteolysis attributable to a biologic response to particulate debris is the most common cause of implant loosening.
- 3. Arthroscopic debridement is most beneficial in patients with osteoarthritis (OA) with mechanical symptoms such as locking.
- 4. Lumbar spine surgery is most successful in patients with radicular symptoms confirmed by clinical examination, electromyography (EMG), and magnetic resonance imaging (MRI) findings who have failed conservative therapy.