Synovectomy with Electric Resectoscope in the Knee Joint (SER)

概要

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Synovectomy in the knee joint with rheumatoid arthritis and other chronic synovitis was practised with an electric resectoscope modified Iglesias resectoscope.The electric resectoscope was inserted into the knee joint from stab wound at the lateral margin of the patella.The synovium in the joint cavity was observed and resected with the electric resectoscope under irrigation of Urigal (cytal).A day after surgery, the operated knee was allowed to mobilize and then, weight-bearing.Eleven joints of ten cases with rheumatoid arthritis, a case with tuberculosis, a case with pigmented villonodular synovitis, and a case with chronic synovitis were operated by this method.As far as the followed-up cases are concern, relief of pain is satisfactory and range of motion is recovered as much as preoperatively more shortly after surgery.As a complication, infection was noted in a case and reaction of irrigating fluid, such as hyponatremia, in a few cases.
西日本整形・災害外科学会の論文