Clinical Results of Arthroscopic Synovectomy for Rheumatoid Knee Joint.

概要

論文の詳細を見る
From 1987 to 1992, arthroscopic synovectomy was performed on 78 knees in 50 patients with rheumatoid arthritis. The clinical results of 27 knees in 20 patients, 19 females and 1 male, who were followed up at least 2 years are reported. Their average age was 59.5 years and the average follow-up period was 47 months. Ten knees (37.0%) needed re-synovectomy during the follow-up period. All knees were evaluated by JOA score and Larsen's X-ray grading.<BR>After arthroscopic synovectomy, the JOA score was improved (p<0.05) and pain remarkably so (p<0.001), but other scores were unchanged. X-ray films showed that slight rheumatoid changes had progressed in 11 knees (40.7%) . Although there were some cases of re-operation, arthroscopic synovectomy for rheumatoid knee joint is useful when arthritis cannot be controlled by medication.
日本関節病学会の論文