Option 15: Surgical approaches
In some cases, when RA has caused significant joint damage and conservative treatments have not provided adequate relief, surgical interventions may be considered. Surgery can help alleviate pain, improve joint function, and restore overall quality of life for those with severe RA.
There are various surgical options for RA patients, depending on the affected joints and the severity of the joint damage. Some common procedures include:
• Joint replacement (arthroplasty): This procedure involves removing the damaged joint surfaces and replacing them with artificial components made of metal, plastic, or ceramic materials. Joint replacement is most commonly performed on the knees, hips, and shoulders.
• Joint fusion (arthrodesis): In this procedure, the bones in the affected joint are fused together, which can help alleviate pain and provide stability. Joint fusion is typically performed on smaller joints, such as those in the wrist, ankle, or fingers.
• Synovectomy: This procedure involves the removal of the inflamed synovial tissue surrounding the joint, which can help reduce pain and inflammation. Synovectomy is often performed on the wrist, fingers, or knee joints.
It’s important to discuss the potential risks and benefits of surgical intervention with your healthcare team, as well as explore all available treatment options before considering surgery. In some cases, a combination of conservative treatments and surgical interventions may provide the best outcomes for those with severe RA. (15)
