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Titolo:
ARTHROSCOPY-ASSISTED SYNOVECTOMY IN THE TREATMENT OF CHRONIC SYNOVITIS OF THE KNEE
Autore:
AYRAL X; BONVARLET JP; SIMONNET J; AMOR B; DOUGADOS M;
Indirizzi:
HOP COCHIN,RHUMATOL CLIN,DEPT RHEUMATOL,27 RUE FAUBOURG ST JACQUES F-75679 PARIS 14 FRANCE COCHIN TEACHING HOSP,DEPT RHEUMATOL PARIS FRANCE
Titolo Testata:
Revue du rhumatisme
fascicolo: 4, volume: 64, anno: 1997,
pagine: 215 - 226
SICI:
1169-8446(1997)64:4<215:ASITTO>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
RHEUMATOID-ARTHRITIS; RADIATION SYNOVECTOMY; INJECTION; EFFICACY; Y-90;
Keywords:
SYNOVECTOMY; ARTHROSCOPY; SYNOVITIS; KNEE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
55
Recensione:
Indirizzi per estratti:
Citazione:
X. Ayral et al., "ARTHROSCOPY-ASSISTED SYNOVECTOMY IN THE TREATMENT OF CHRONIC SYNOVITIS OF THE KNEE", Revue du rhumatisme, 64(4), 1997, pp. 215-226

Abstract

The place of arthroscopy-assisted synovectomy in the treatment of inflammatory synovitis of the knee was evaluated by studying 26 patients who underwent this procedure between November 1992 and September 1995. Half the patients had rheumatoid arthritis. Twenty-three patients (28knees) were reevaluated after a mean follow-up of 32 months (range, 4-50 months). The arthroscopic synovectomy was done either as the first-line synovectomy procedure, after failure of triamcinolone hexacetonide injection into the joint, or as the second-line synovectomy procedure, after failure of osmic acid or yttrium-90 synovectomy. Except in one patient with severe arthritis, arthroscopic synovectomy produced statistically significant improvements regarding pain (visual scale), function (Lequesne's index), range of flexion, amount of joint fluid andknee circumference. The range of extension of the knee was normal at baseline and remained so after the procedure. Overall efficacy was similar for first-line and second-line procedures. Results were rated good to very good by 71% of the patients and 61% of the physicians overall and the overall improvement in knee arthritis as perceived by the patients was 60%. The procedure was well tolerated in 93% of cases. The mean time needed to achieve a stable improvement was 3.2 creeks for pain, 4.7 weeks for swelling and 3.6 weeks for range of motion. One caseeach of hemarthrosis and stiffness of the knee were recorded, with a full recovery in both cases. Arthroscopic synovectomy is effective andsafe but more burdensome and expensive than osmic acid or radiation synovectomy, and consequently deserves a place of choice in patients who have failed to respond to either of the last two methods.

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Documento generato il 28/09/20 alle ore 03:35:04