Live: Rheumatoid Arthritis Patient Undergoes Silicone Joint Arthroplasty of the MP Joints (Knuckles)

Description

This video captures a live surgical procedure performed by Dr. Alejandro Badia, focusing on the treatment of rheumatoid arthritis in a patient's hand. The surgery, set in a hospital operating room, starts with the surgeon greeting the audience and explaining the case—a patient with notable connective tissue issues that complicate the surgery. Throughout, Dr. Badia discusses his technique for making longitudinal incisions rather than standard across incisions, highlighting the aesthetic and functional benefits of his method.



As the surgery unfolds, Dr. Badia carefully navigates through layers of fatty tissue, describing the challenges presented by the patient's condition. He frequently interacts with his surgical assistant, who helps facilitate the operation by providing tools and asking clarifying questions about the procedure. A notable part of the surgery includes an intrinsic release, aimed at correcting the patient's ulnar drift—a common issue in rheumatoid patients.



The discussion also touches on broader themes in rheumatoid arthritis care, such as the importance of collaboration with rheumatologists, the efficacy of disease-modifying agents, and the correlation of arthritis with genetics. Throughout the procedure, the importance of minimizing patient trauma and scarring is emphasized.



As the surgical procedure progresses, viewers are shown before-and-after visuals of the patient's hand, illustrating improvements in alignment. The video serves not only as an educational tool for medical professionals but also as a testament to advancements in surgical techniques in treating complex cases of rheumatoid arthritis.

DOI: 10.1302/3114-240507

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