Matches in SemOpenAlex for { <https://semopenalex.org/work/W3096685306> ?p ?o ?g. }
Showing items 1 to 56 of
56
with 100 items per page.
- W3096685306 endingPage "153" @default.
- W3096685306 startingPage "150" @default.
- W3096685306 abstract "Surgical management of Juvenile Inflammatory Arthritis (JIA) presents many challenges for the patient, healthcare team and especially the orthopedic surgeon. Collaborative care efforts must be endorsed early on in order to facilitate maximal postoperative functional ability. Developmental levels, both physically and emotionally must be established preoperatively. It is important to determine bone age and growth plate closure to establish the best surgical intervention and avoid leg-length discrepancies later in life. Emotional maturity may impede the ability of the patient to manage pain or follow directions throughout the recuperative process. Surgical challenges require a team approach that includes rheumatologists who can manage disease modifying agents and the effects of discontinuing medications or planning surgery around dosing regimens in order to decrease immunosuppression. Managing multiple joint issues will require an expert team of occupational and physical therapists to prepare adaptive devices and rehabilitate patients who have significant functional limitations and decreased muscular strength. Because of an anticipated longer and more difficult recovery for JIA patients, case managers must engage in support systems and plan for postoperative care prior to surgery. Implant specific devices need to accommodate small bone structure, bone loss and complex deformities along with diaphyseal or epiphyseal dysplasia. Neurologic assessments will avoid cervical spine compromise during anesthesia administration. Bilateral procedures in the lower extremities should be considered whenever flexion contractures are present and should take place prior to upper extremity joint replacements. Restoring function to the hand and wrist takes priority over elbow and shoulder replacement, respectively. The key factors of appropriate surgical management in JIA patients are to decrease pain, restore function and avoid loss of ambulation at a young age. Extensive preoperative planning and communication with the patient, support system and healthcare team are warranted to address the complexities in this patient population." @default.
- W3096685306 created "2020-11-09" @default.
- W3096685306 creator A5001009552 @default.
- W3096685306 creator A5018370974 @default.
- W3096685306 creator A5030059802 @default.
- W3096685306 creator A5054976158 @default.
- W3096685306 date "2020-11-25" @default.
- W3096685306 modified "2023-10-11" @default.
- W3096685306 title "General Principles of the Surgical Management of Juvenile Inflammatory Arthritis" @default.
- W3096685306 cites W2003256060 @default.
- W3096685306 cites W2054113378 @default.
- W3096685306 cites W2060410188 @default.
- W3096685306 cites W2169571007 @default.
- W3096685306 cites W2227812300 @default.
- W3096685306 cites W2292772084 @default.
- W3096685306 doi "https://doi.org/10.2174/1874325002014010150" @default.
- W3096685306 hasPublicationYear "2020" @default.
- W3096685306 type Work @default.
- W3096685306 sameAs 3096685306 @default.
- W3096685306 citedByCount "1" @default.
- W3096685306 countsByYear W30966853062021 @default.
- W3096685306 crossrefType "journal-article" @default.
- W3096685306 hasAuthorship W3096685306A5001009552 @default.
- W3096685306 hasAuthorship W3096685306A5018370974 @default.
- W3096685306 hasAuthorship W3096685306A5030059802 @default.
- W3096685306 hasAuthorship W3096685306A5054976158 @default.
- W3096685306 hasBestOaLocation W30966853061 @default.
- W3096685306 hasConcept C141071460 @default.
- W3096685306 hasConcept C1862650 @default.
- W3096685306 hasConcept C68312169 @default.
- W3096685306 hasConcept C71924100 @default.
- W3096685306 hasConceptScore W3096685306C141071460 @default.
- W3096685306 hasConceptScore W3096685306C1862650 @default.
- W3096685306 hasConceptScore W3096685306C68312169 @default.
- W3096685306 hasConceptScore W3096685306C71924100 @default.
- W3096685306 hasIssue "1" @default.
- W3096685306 hasLocation W30966853061 @default.
- W3096685306 hasOpenAccess W3096685306 @default.
- W3096685306 hasPrimaryLocation W30966853061 @default.
- W3096685306 hasRelatedWork W1987780623 @default.
- W3096685306 hasRelatedWork W2068560585 @default.
- W3096685306 hasRelatedWork W2089006872 @default.
- W3096685306 hasRelatedWork W2094085418 @default.
- W3096685306 hasRelatedWork W2143598137 @default.
- W3096685306 hasRelatedWork W214433981 @default.
- W3096685306 hasRelatedWork W2463636345 @default.
- W3096685306 hasRelatedWork W3139591674 @default.
- W3096685306 hasRelatedWork W4206422284 @default.
- W3096685306 hasRelatedWork W4322728551 @default.
- W3096685306 hasVolume "14" @default.
- W3096685306 isParatext "false" @default.
- W3096685306 isRetracted "false" @default.
- W3096685306 magId "3096685306" @default.
- W3096685306 workType "article" @default.