Surgical treatment may be used in a very small
number of children whose juvenile idiopathic arthritis (JIA) has caused severe
joint deformity, loss of movement, or pain.
The main things to think about for surgery during childhood are the child's age and whether his or her bones are still growing. If at all possible, joint reconstruction is delayed until
childhood bone growth is complete (at about 18 years of age).
When surgery to correct joint deformity is needed, the
more common procedures include:
Other surgical procedures for JIA are recommended only in selected cases. These include:
involves removing a wedge of bone to allow more normal alignment of the joint.
It may be recommended for children who have severe joint
Epiphysiodesis. In this surgery, the portion where growth occurs is removed in order
to stop growth.
Synovectomy or tenosynovectomy. These are rarely used for JIA. Synovectomy involves the removal of the joint lining (synovium) and/or the covering of the tendon
(tenosynovectomy) to reduce joint inflammation.
Arthrodesis. This is rarely used in children. It involves
fusing two bones in a diseased joint so that the joint can no longer
In this article
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WebMD Medical Reference from Healthwise
September 09, 2014
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