SYNOVECTOMY FOR RHEUMATOID ARTHRITIS

Author:

Wilkinson M. C.1,Lowry J. H.1

Affiliation:

1. Black Notley Hospital, Essex, England

Abstract

1. The follow-up reports of ninety-one joints affected by rheumatoid arthritis and treated by synovectomy showed that seventy-three joints remained free of pain. Forty-nine out of ninety-one joints retained useful function after a period averaging three and a half years. 2. The average duration of the disease before admission was eight and a half years. 3. The joints causing most distress were selected for operation. Better results might have been obtained if these patients had received constitutional treatment, splintage and synovectomy earlier. Many of these patients had advanced disease which was continuing to advance at the time of their admission, in spite of previous treatment. Many accepted a trial of treatment in a long stay hospital as a last hope. 4. The return of forty-eight out of sixty-two patients to unassisted or nearly unassisted activity and the maintenance of this state in thirty-nine out of fifty-four shows that the success of the pilot scheme conducted in cooperation with Dr W. S. Tegner and Dr R. M. Mason of the London Hospital has been confirmed by further experience.

Publisher

British Editorial Society of Bone & Joint Surgery

Subject

Orthopedics and Sports Medicine,Surgery

Cited by 13 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Application of Arthroscopy in the Treatment of Rheumatoid Wrist;Clinical Management of the Rheumatoid Hand, Wrist, and Elbow;2016

2. Management of glenohumeral arthritis: a role for arthroscopy?;Orthopedic Clinics of North America;2003-10

3. Synovectomy;Clinics in Podiatric Medicine and Surgery;1988-01

4. Synovectomy of the wrist in rheumatoid arthritis and related diseases;Archives of Orthopaedic and Traumatic Surgery;1984-02

5. References;Scandinavian Journal of Rheumatology;1977-01

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