Wound Healing with Medications for Rheumatoid Arthritis in Hand Surgery
Joint Authors
Burke, F. D.
Barnard, A. R.
Wilgis, E. F. S.
Chung, K. C.
Regan, M.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-12-03
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
Medications used to treat rheumatoid arthritis, such as corticosteroids, disease-modifying agents (DMARDs), and injectable biological agents (anti-TNFα), may have widespread effects on wound healing.
In hand surgery, it is important to balance the risks of poor wound healing from continuing a medication against the risks of a flare of rheumatoid arthritis if a drug is temporarily discontinued.
Materials and Methods.
A United Kingdom (UK) group of 28 patients had metacarpophalangeal joint replacement surgery in 35 hands (140 wounds).
All medication for rheumatoid arthritis was continued perioperatively, except for the injectable biological agents.
Results.
There were no instances of wound dehiscence or deep infection and only one episode of minor superficial infection.
Conclusions.
We conclude that provided care is taken to identify and treat any problems promptly, it is appropriate to continue most antirheumatoid medications in the perioperative period during hand surgery to reduce the risk of destabilising the patients' overall rheumatoid disease control.
American Psychological Association (APA)
Barnard, A. R.& Regan, M.& Burke, F. D.& Chung, K. C.& Wilgis, E. F. S.. 2012. Wound Healing with Medications for Rheumatoid Arthritis in Hand Surgery. ISRN Rheumatology،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-457554
Modern Language Association (MLA)
Barnard, A. R.…[et al.]. Wound Healing with Medications for Rheumatoid Arthritis in Hand Surgery. ISRN Rheumatology No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-457554
American Medical Association (AMA)
Barnard, A. R.& Regan, M.& Burke, F. D.& Chung, K. C.& Wilgis, E. F. S.. Wound Healing with Medications for Rheumatoid Arthritis in Hand Surgery. ISRN Rheumatology. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-457554
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-457554