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HomeReview of the conditionCharacteristics of rheumatoid arthritis of the kneeIncidence and risk factorsDiagnosis Medications Exercises Possible benefits of knee surgery for rheumatoid arthritisConsidering surgeryPreparing for surgeryAbout the procedureRecovering from surgeryRehabilitationConclusion

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Knee Surgery for Rheumatoid Arthritis.

Last updated Thursday, February 10, 2005

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Review of the condition

What are some general characteristics of rheumatoid arthritis of the knee? What are its usual manifestations?

As with any other joint in the body, the knee joint can be destroyed by rheumatoid arthritis. This can lead to pain, stiffness, deformity, and disability. Pain is typically aggravated by weight bearing activity. It often occurs at rest and interferes with sleep in later stages.

How common is rheumatoid arthritis of the knee (statistics, demographics, risk factors)?

Knee involvement by RA is more common than hip involvement. Approximately 20-30% of patients with RA will have knees affected by this disease.

How is rheumatoid arthritis of the knee diagnosed? What tests or exams may be used?

A thorough history will determine the patient�s overall health and functional capacity. Examination of the spine, hips, knees, ankles and feet for joint range of motion and deformity is done. Radiographs (X-rays) of the involved joints are obtained. These usually include neck X-rays in which the patient is first asked to bend their head forward, then backward. Standard x-rays of the knees with the patient standing are obtained. Occasionally, an MRI scan, CAT scan (CT), or Bone-scan may be necessary.

Can medications help rheumatoid arthritis of the knee?

In early stages of RA, anti-inflammatory medications can be effective in decreasing pain and may slow the progression of joint destruction caused by RA.

Can exercises help rheumatoid arthritis of the knee?

Once joint destruction of the knee has set in, there are no specific exercises that can stop or arrest the development of deformity and joint destruction. Regular range of motion exercises and weight bearing activity are important in maintaining muscle strength and overall aerobic (heart and lung) capacity, and help prevent the development of osteoporosis, which can complicate later treatment.

Specifically, how is rheumatoid arthritis of the knee improved by knee surgery for rheumatoid arthritis?

Surgery can reduce the pain and swelling caused by synovitis associated with RA, and can correct the loss of cartilage and bony destruction associated with later stages of the disease.

Surgery for Rheumatoid arthritis of the knee at the University of Washington

If you are interested in making an appointment to discuss this procedure, you can request an appointment using our online referrals website. To request a referral online, please click here. You can also call 206-598-4288 (outside the Seattle area: 800-440-3280) to make an appointment.


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