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Orthopédie-traumatologie de la personne âgée fragile pp 397–411Cite as

Lésions articulaires multiples chez le sujet âgé (polyarthrite rhumatoïde)

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Part of the book series: Approche pratique en orthopédie - traumatologie ((APPRPRAT))

Résumé

Les pathologies articulaires multiples, comme celles rencontrées dans la polyarthrite rhumatoïde, posent, chez le sujet âgé comme chez le sujet jeune, deux types de problèmes:

  • • la stratégie et l’ordonnancement des gestes à réaliser, en essayant de regrouper les gestes opératoires pour raccourcir la période de prise en charge, en respectant les impératifs de rééducation, d’immobilisation et de mise en décharge de chacun de ces gestes et, bien sûr, les limites que pourra mettre l’anesthésiste (durée des interventions combinées, pertes sanguines) en fonction des tares présentées par le patient;

  • • le choix du geste à réaliser pour chaque atteinte articulaire: résections, prothèses articulaires ou arthrodèses; l’âge avancé des patients fera privilégier les prothèses chaque fois que possible, pour deux raisons:

  • — le souhait de limiter le plus possible les périodes d’immobilisation et de mise en décharge nécessaires aux arthrodèses;

  • — la réticence, moindre devant un sujet âgé que devant un sujet jeune, de mettre en place des prothèses articulaires dont la durée de vie est encore insuffisamment connue (épaule inversée, coude, poignet, cheville, doigts).

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Références

  1. Gschwend N (1995) Multiple joint replacement in chronic rheumatoid arthritis: results, indications. Ther Umsch 52(7): 464–9

    PubMed  CAS  Google Scholar 

  2. Toolan BC, Hansen ST Jr (1998) Surgery of the rheumatoid foot and ankle. Curr Opin Rheumatol 10(2): 116–9

    Article  PubMed  CAS  Google Scholar 

  3. Jana AK, Engh CA Jr, Lewandowski PJ, et al. (2001) Total hip arthroplasty using porouscoated femoral components in patients with rheumatoid arthritis. J Bone Joint Surg Br 83(5): 686–90

    Article  PubMed  CAS  Google Scholar 

  4. Gschwend N (1998) The rheumatic hand. Orthopäde 27(3): 167–74

    PubMed  CAS  Google Scholar 

  5. Stockley I, Betts RP, Rowley DI, et al. (1990) The importance of the valgus hindfoot in forefoot surgery in rheumatoid arthritis. J Bone Joint Surg Br 72(4): 705–8

    PubMed  CAS  Google Scholar 

  6. Laursen JO, Husted H, Mossing NB (2000) One-stage bilateral total hip arthroplasty a simultaneous procedure in 79 patients. Acta Orthop Belg 66(3): 265–71

    PubMed  CAS  Google Scholar 

  7. Ritter MA, Randolph JC (1976) Bilateral total hip arthroplasty: a simultaneous procedure. Acta Orthop Scand 47(2): 203–8

    Article  PubMed  CAS  Google Scholar 

  8. Panousis K, Rana B, Hunter J, Grigoris P (2003) Rapid sequence quadruple joint replacement in a rheumatoid Jehovah’s Witness. Arch Orthop Trauma Surg 123(2-3): 128–31

    PubMed  Google Scholar 

  9. Gill DR, Cofield RH, Morrey BF (1999) Ipsilateral total shoulder and elbow arthroplasties in patients who have rheumatoid arthritis. J Bone Joint Surg Am 81(8): 1128–37

    PubMed  CAS  Google Scholar 

  10. Kocialkowski A, Wallace WA (1990) One-stage arthroplasty of the ipsilateral shoulder and elbow. J Bone Joint Surg Br 72(3): 520

    PubMed  CAS  Google Scholar 

  11. Vrettos BC, Neumann L, McKie A, et al. (2005) One-stage arthroplasty of the ipsilateral shoulder and elbow. J Shoulder Elbow Surg 14(4): 425–8

    Article  PubMed  Google Scholar 

  12. Aidem HP (1988) Arthroplasty of the ipsilateral shoulder and elbow in patients who have rheumatoid arthritis. J Bone Joint Surg Am70(1): 151

    PubMed  CAS  Google Scholar 

  13. Friedman RJ, Ewald FC (1987) Arthroplasty of the ipsilateral shoulder and elbow in patients who have rheumatoid arthritis. J Bone Joint Surg Am 69(5): 661–6

    PubMed  CAS  Google Scholar 

  14. Alemparte J, Johnson GV, Worland RL, et al. (2002) Results of simultaneous bilateral total knee replacement: a study of 1208 knees in 604 patients. J South Orthop Assoc 11(3): 153–6

    Google Scholar 

  15. Cohen RG, Forrest CJ, Benjamin JB (1997) Safety and efficacy of bilateral total knee arthroplasty. J Arthroplasty 12(5): 497–502

    Article  PubMed  CAS  Google Scholar 

  16. Ivory JP, Simpson AH, Toogood GJ, et al. (1993) Bilateral knee replacements: simultaneous or staged? J R Coll Surg Edinb 38(2): 105–7

    PubMed  CAS  Google Scholar 

  17. Liu TK, Chen SH (1998) Simultaneous bilateral total knee arthroplasty in a single procedure. Int Orthop 22(6): 390–3

    Article  PubMed  CAS  Google Scholar 

  18. Lu H, Yuan Y, Kou B (1995) Simultaneous bilateral total knee replacement for the patients with serious rheumatoid disease. Zhonghua Wai Ke Za Zhi 33(10): 594–96

    PubMed  CAS  Google Scholar 

  19. McLaughlin TP, Fisher RL (1985) Bilateral total knee arthroplasties. Comparison of simultaneous (two-team), sequential, and staged knee replacements. Clin Orthop 199: 220–5

    PubMed  Google Scholar 

  20. Stanley D, Stockley I, Getty CJ (1990) Simultaneous or staged bilateral total knee replacements in rheumatoid arthritis. A prospective study. J Bone Joint Surg Br 72(5): 772–4

    PubMed  CAS  Google Scholar 

  21. Bullock DP, Sporer SM, Shirreffs TG Jr (2003) Comparison of simultaneous bilateral with unilateral total knee arthroplasty in terms of perioperative complications. J Bone Joint Surg Am 85A(10): 1981–6

    Google Scholar 

  22. Worland RL, Jessup DE, Clelland C (1996) Simultaneous bilateral total knee replacement versus unilateral replacement. Am J Orthop 25(4): 292–5

    PubMed  CAS  Google Scholar 

  23. Bezwada HP, Nazarian DG, Booth RE Jr (2003) Simultaneous revision and contralateral primary total knee arthroplasty. J Bone Joint Surg Am 85A(10): 1993–8

    Google Scholar 

  24. Mangaleshkar SR, Prasad PS, Chugh S, Thomas AP (2001) Staged bilateral total knee replacement—a safer approach in older patients. Knee 8(3): 207–11

    Article  PubMed  CAS  Google Scholar 

  25. Parvizi J, Sullivan TA, Trousdale RT, Lewallen DG (2001) Thirty-day mortality after total knee arthroplasty. J Bone Joint Surg Am 83(8): 1157–61

    PubMed  Google Scholar 

  26. Ritter M, Mamlin LA, Melfi CA, et al. (1997) Outcome implications for the timing of bilateral total knee arthroplasties. Clin Orthop 345: 99–105

    PubMed  Google Scholar 

  27. Delia Valle CJ, Idjadi J, Hiebert RN, Jaffe WL (2003) The impact of Medicare reimbursement policies on simultaneous bilateral total hip and knee arthroplasty. J Arthroplasty 18(1): 29–34

    Article  Google Scholar 

  28. Reuben JD, Meyers SJ, Cox DD, et al. (1998) Cost comparison between bilateral simultaneous, staged, and unilateral total joint arthroplasty. J Arthroplasty 13(2): 172–9

    Article  PubMed  CAS  Google Scholar 

  29. DeOrio JK (2005) Autologous bone from hip or knee replacement in simultaneous foot or ankle arthrodeses. Am J Orthop 34(11): 539–43

    PubMed  Google Scholar 

  30. Lu H, Yuan Y, Kou B, et al. (2000) Reconstruction of hip, knee, and ankle bony fused in nonfunctional position of ankylosing spondylitis patients. Zhonghua Wai Ke Za Zhi 38(10): 749–51

    PubMed  CAS  Google Scholar 

  31. O’Brien ET (1996) Surgical principles and planning for the rheumatoid hand and wrist. Clin Plast Surg 23(3): 407–20

    PubMed  Google Scholar 

  32. Keisu KS, Orozco F, McCallum JD 3rd, et al. (2001) Cementless femoral fixation in the rheumatoid patient undergoing total hip arthroplasty: minimum 5-year results. J Arthroplasty 16(4): 415–21

    Article  PubMed  CAS  Google Scholar 

  33. Yoshino S, Shiga H, Nakamura H, Nagashima M (1999) Long-term outcome of total joint arthroplasty in non-ambulatory patients with rheumatoid arthritis. J Rheumatol 26(5): 1076–79

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Service d’orthopédie B, Hôpital Roger Salengro - CHRU de Lille, 59037, Lille cedex, France

    C. Fontaine & G. Wavreille

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  1. C. Fontaine
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  2. G. Wavreille
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Correspondence to C. Fontaine .

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Sylvain Terver Frédéric Martins-Condé Bernard Leblanc

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Fontaine, C., Wavreille, G. (2013). Lésions articulaires multiples chez le sujet âgé (polyarthrite rhumatoïde). In: Terver, S., Martins-Condé, F., Leblanc, B. (eds) Orthopédie-traumatologie de la personne âgée fragile. Approche pratique en orthopédie - traumatologie. Springer, Paris. https://doi.org/10.1007/978-2-8178-0377-7_32

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  • DOI: https://doi.org/10.1007/978-2-8178-0377-7_32

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0376-0

  • Online ISBN: 978-2-8178-0377-7

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