Multidisciplinary approach in the treatment of patients with articular manifestations of ankylosing spondyloarthritis

Objective: to substantiate the necessity of applying a multidisciplinary approach in treating patients with articular manifestations of ankylosing spondyloarthritis and to determine optimal methods of postoperative rehabilitation. Materials and methods. A literature review was conducted on the problems of diagnosis, treatment, and rehabilitation of patients with ankylosing spondylitis. Modern approaches to surgical treatment of large joint involvement in this disease, including hip and knee joint replacement, were reviewed. The principles of organizing a multidisciplinary team and methods of postoperative rehabilitation were studied. Results. Ankylosing spondylitis affects 0.5-2% of the population, predominantly men aged 15–30 years, leading to significant functional limitations and disability. The multidisciplinary approach includes participation of rheumatologists, orthopedic surgeons, rehabilitation specialists, and other professionals for comprehensive patient care. Rheumatologists ensure disease activity control and prevention of postoperative complications. Orthopedic surgeons specialize in surgical interventions, including arthroplasty for large joint involvement. Rehabilitation specialists develop individualized recovery programs including early mobilization, physiotherapy, therapeutic exercise, and patient education. Conclusion. The multidisciplinary approach is an integral part of successful treatment of ankylosing spondyloarthritis, especially in surgical interventions on large joints. Comprehensive postoperative rehabilitation, including early mobilization, physiotherapy, and patient education, contributes to improved functional outcomes and quality of life for patients.