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Rheumasurgery
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Rheumasurgery : ウィキペディア英語版
Rheumasurgery
Rheumasurgery is a subfield of orthopedics occupied with the surgical treatment of patients with rheumatic diseases.〔("Norsk forening for revmakirurgi - Med hovedbase på Diakonhjemmet" ) LB Johannessen Tidsskr Nor Lægeforen 2004; 124:3110 Nr. 23 – 2. desember 2004 〕 The purpose of the interventions is to limit disease activity, sooth pain and improve function.〔(Rheumakirurgi ). Arne Skredderstuen november 2000〕
Rheumasurgical interventions can be divided in two groups. The one is early synovectomies, that is the removal of the inflamed synovia in order to prevent spreading and stop destruction. The other group is the so-called corrective intervention, that is an intervention done after destruction has taken place.〔Den sykehusmessige revmatikeromsorgen i Norge (Kåss and Stene 1970), page 24.〕
==Historical development==
Rheumasurgery emerged in the cooperation of rheumatologists and orthopedic surgeons in Heinola, Finland, during the 1950s.〔Revmatisme: Gamle plager - ny viten (Munthe and Larsen 1987, page 49)〕
In 1970 a Norwegian investigation estimated that at least 50% of patients with rheumatic symptoms needed rheumasurgery as an integrated part of their treatment.〔Den sykehusmessige revmatikeromsorgen i Norge (Kåss and Stene 1970), pages 24-25.〕
Around the turn of the century, focus for treatment of patients with rheumatic disease shifted, and pharmacological treatment became dominant, while surgical interventions became rarer.〔(Trender i revmakirurgisk behandling av pasienter med leddgikt og andre kronisk inflammatoriske leddsykdommer ), Norsk Rheumabulletin 4/2012, pages 16-17.〕

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