[Resection arthroplasty of the metacarpophalangeal joints for rheumatoid arthritis; a follow-up study].
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Biomedical subjects
Publications and source records attributed to R L Nienhuis.
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Between 1978 and 1983, 14 patients suffering from rheumatoid arthritis were treated by bilateral total hip and knee replacement. At the time of this follow-up study (32-92 months postoperatively) one patient had died of concomitant disease and was excluded. The postoperative results regarding pain relief, improvement in performing daily activities, and function were studied in the remaining 13 patients. A 200-point rating scale was used, which compared the pre- and postoperative findings at follow-up. All patients showed marked relief from pain, good function and a good functional score. Although walking ability did not always improve, all patients were enthusiastic.
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Reports indicate that weather conditions may affect some symptoms of rheumatoid arthritis (RA) but not the disease itself. Eighty-eight patients living in the marine climate of the Dutch coastal provinces scored their pain symptoms daily during a full year. Correlation analyses of monthly patient averaged pain scores against each of 6 weather factors indicated that RA pain associates positively and quite significantly (p less than 0.01) with temperature and with vapour pressure, negatively and significantly (p less than 0.02) with relative humidity and not with any of the other factors. The fact that the relation between the temperature/vapour pressure complex and RA pain is stronger in summer than in winter is discussed.
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In 40 patients with rheumatoid arthritis 43 operations for excision of the ulnar head were performed. A follow-up study was performed after 35 months. In 38 patients wrist pain had disappeared completely or almost completely. The function in use, supination and pronation of the wrists, and wrist strength had all much improved. The stability of the radiocarpal joint was good after operation. Only minor complications were seen.
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