Follow-up Study of Elbow Synovectomy in Rheumatoid Arthritis.

概要

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Of patients with RA of the elbow treated by synovectomy in our department, 10 (12 elbows) in whom postoperative follow-up observations were feasible, were evaluated for the results of the operative treatment. They consisted of 3 males (5 joints) and 7 females (7 joints) with a mean age of 63.2 years and a mean follow-up period of 4 years. The affected synovium was removed through a longitudinal skin incision laterally. During the follow-up period, we noted relief of pain, improvement of the ranges of elbow flexion and extension, forearm supination and pronation in almost all the patients. An improvement of ADL was also prominent with the restoration of the patients' abilities to comb their hair with their hands, to eat and to hold Something. The results of the operation were thus quite gratifying with a definite improvement achieved in the range of motion of the joint and also of ADL.