About Rheumatoid Vasculitis
Key Highlights
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Addresses severe vascular and joint complications of autoimmune disease in children.Multidisciplinary approach combining medical and surgical expertise.Aims to preserve limb function, prevent deformities, and support normal growth.Can alleviate pain and improve quality of life for the pediatric patient.Focuses on long-term musculoskeletal health and mobility.
Who is this surgery for?
- Severe digital ischemia or gangrene (tissue death) in fingers or toes due to vasculitis.
- Large, non-healing skin ulcers or necrotic lesions caused by vascular inflammation.
- Significant joint destruction or deformity from underlying arthritis exacerbated by vasculitis.
- Compartment syndrome (increased pressure in muscles) secondary to vascular involvement.
- Failure of aggressive medical therapy (immunosuppressants, biologics) to control musculoskeletal damage.
- Need for surgical biopsy to confirm the diagnosis of vasculitis when other methods are inconclusive.
How to prepare
- Comprehensive evaluation by a pediatric rheumatologist and orthopedic surgeon.
- Detailed imaging studies (MRI, angiography, ultrasound) to assess blood vessel and joint damage.
- Optimization of medical therapy to control systemic inflammation prior to surgery.
- Pre-operative blood tests to assess infection risk and overall health status.
- Discussion of the surgical plan, risks, and expected outcomes with the child's family.
- Fasting as instructed by the anesthesiology team.
Risks & possible complications
- Infection at the surgical site or systemic infection.
- Bleeding or hematoma formation.
- Poor wound healing or wound breakdown, especially with compromised blood flow.
- Damage to nerves or blood vessels.
- Recurrence of vasculitis or progression of the underlying disease.
- Anesthesia-related risks.
- Need for further surgeries (e.g., amputation in severe cases of gangrene).
- Blood clots (deep vein thrombosis).
Recovery & hospital stay
- Initial hospital stay for pain management, wound care, and monitoring of vascular status.
- Immobilization with splints or casts may be required to protect surgical sites.
- Strict elevation of the affected limb to reduce swelling.
- Gradual reintroduction of physical and occupational therapy to restore function and strength.
- Close follow-up with both the orthopedic surgeon and rheumatologist.
- Continued aggressive medical management of the underlying autoimmune condition.
- Careful monitoring for signs of infection or poor wound healing.
- Nutritional support to promote healing.
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Typical hospital stay: 5-14 days
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Expected recovery time: Several weeks to several months
Frequently Asked Questions
If you are considering rheumatoid vasculitis in India, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in India with pediatric orthopedics departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform rheumatoid vasculitis. MediFyr helps you compare pediatric orthopedics and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for rheumatoid vasculitis compare across other countries where we have data.
Anjali Joshi, a bright 14-year-old from...
Anjali Joshi, a bright 14-year-old from a close-knit family, had been battling severe Juvenile Idiopathic Arthritis (JIA) since she was 8. Recently, she developed painful, dark purple spots (digital infarcts) on several fingertips and a persistent ulcer on her ankle that wouldn't heal, alongside a sudden worsening of joint pain and fatigue. Her pediatric rheumatologist diagnosed a serious complication: rheumatoid vasculitis, where inflammation was attacking her blood vessels, threatening the blood supply to her skin and tissues. The orthopedic surgeon recommended an urgent synovectomy (joint lining removal) of her most inflamed wrist and ankle joints, combined with aggressive wound debridement of the ankle ulcer to prevent tissue death and preserve function. The surgery was intense, and post-op, Anjali's hands and foot were heavily bandaged. Recovery was slow and painful, requiring weeks of immobility followed by intensive physiotherapy. Emotionally, Anjali was terrified; the new symptoms felt like her body was betraying her after years of struggle. She feared losing her ability to draw, her primary joy. After the procedure, as the ulcers healed and joint pain subsided, a cautious hope emerged. While she has permanent minor scarring, she regained enough function to hold a pencil again. The experience left her emotionally weary but fiercely determined to focus on what her body *can* do.
Pediatric Orthopedics for Rheumatoid Vasculitis
Explore experienced pediatric orthopedics who regularly perform rheumatoid vasculitis and provide pre- and post-operative care in India.
- 14 Years Experience
- Pediatric Orthopedics
Manipal Hospital Ghaziabad, Ghaziabad
- 23 Years Experience
- Pediatric Orthopedics
Manipal Hospital Old Airport Road, Bangalore
- 8 Years Experience
- Pediatric Orthopedics
Manipal Hospital Mukundapur, Kolkata