臨床整形外科54巻12号

2019年12月発行

誌上シンポジウム 患者の満足度を高める関節リウマチ手術

足趾・足関節の関節リウマチ手術の現状と未来

著者： 平尾眞¹

所属機関： ¹大阪大学医学系研究科器官制御外科学(整形外科)

ページ範囲：P.1227 - P.1235

　リウマチの薬物治療が進歩しても，現在のところなくなることのない足部手術において，すべての問題に対処できるように努力し，外科治療を進歩させることがリウマチ関節外科医としての使命である．われわれは関節リウマチ(RA)における足部・足関節部の変形・破壊に対して，関節機能の可及的な温存を目指しながら，機能再建手術を前・中・後足部すべてにおいて行っている．今後，RA症例に対し，さらに脛骨の骨切り手術や足関節鏡手術，distraction arthroplastyなどの関節温存手術の適応が広がることが期待される．

参考文献

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