Patients with rheumatic diseases often present with several problems amenable to orthopaedic surgical treatment. These problems are usually progressing at different rates, and the best surgical treatment for one may conflict with the treatment of the others. Each patient presents with a unique set of problems, but some patterns tend to emerge. The crucial question is; what to do and when? I will be discussing how to make this decision logically in patients in whom several orthopaedic problems co-exist.
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