Influence of primary hip joint arthroplasty and perioperative therapy for the state of patients with rheumatoid arthritis

Introduction.Rheumatoid arthritis (RA) is a widespread autoimmune disease with erosive and destructive changes in the joints, with a high incidence of disability. About a third of patients with RA after 10-15 years of illness need arthroplasty (AP).The aim of study. Analysis of hip joint arthroplasty for patients with rheumatoid arthritis based on the Department of Orthopedics 2 Republican clinical hospital (Kazan) from 2012 to 2019. Analysis of effectiveness of treatment.Materials and methods. We analyzed 54 hip joint arthroplasty for 43 patients with RA. Arthritis therapy included glucocorticosteroids (GCS), basic antirheumatic drugs.Results. 3 months after AP, we noted a decrease in pain, disease activity according to DAS28, more often in groups of patients who received methotrexate in monotherapy or in combination with corticosteroids. After AP, patients had an improvement in physical health, emotional well-being, and social functioning. Discussion. Correctly performed replacement arthroplasty, rational selection of therapy, and correctly selected therapy improve the patient's quality of life.