PMID: 9184267May 1, 1997Paper

The long-term results of ankle joint synovectomy for rheumatoid arthritis

Clinical Rheumatology
S AkagiR Ogawa

Abstract

The clinical and radiological results of synovectomy for rheumatoid arthritis in the ankle joint were investigated in 20 ankles of 15 patients. The average follow-up period after synovectomy was 15 years, ranging from 10 to 25 years. The clinical evaluation at the time of follow-up, found that only two ankles showed recurrence of synovitis, and no patient complained of severe ankle pain disturbing the activities of daily life. During the period between the synovectomy and our investigation, no patients required further surgical procedures for their ankle joints. The radiological evaluation found that in approximately two-thirds of the cases, deterioration of the radiological grade, evaluated with Larsen's criteria, had continued after synovectomy. There was no considerable radiological deterioration in the less-erosive subset patients, classified according to Ochi's criteria (1). In the unilateral synovectomized cases, using the non-operated ankles as the natural-course control, osteoarthritic changes were predominant in the operated ankle joint, and the non-operated ankle demonstrated inflammatory disease changes. These results indicate that: (1) synovectomy for a rheumatoid ankle is still a preferred treatment, lessening the ...Continue Reading

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Citations

Oct 4, 2011·Rheumatology International·Knut Liepe
Aug 23, 2006·Zeitschrift für Rheumatologie·H-D CarlB Swoboda
Oct 11, 2007·Zeitschrift für Rheumatologie·S AndersJ Grifka
Sep 9, 2008·Zeitschrift für Rheumatologie·H-D Carl, B Swoboda
Aug 15, 2013·Current Reviews in Musculoskeletal Medicine·Francis Brooks, Kartik Hariharan
May 15, 2004·American Journal of Veterinary Research·Kechia M DavisMark D Markel
Nov 13, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Woo Jin ChoiJin Woo Lee
Mar 27, 2012·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·David T LovedayNick P J Geary
May 18, 2010·Clinics in Podiatric Medicine and Surgery·Joseph R Treadwell
Mar 14, 2007·Applied Radiation and Isotopes : Including Data, Instrumentation and Methods for Use in Agriculture, Industry and Medicine·F M van der ZantJ W G Jacobs
Jul 28, 2009·Acta Orthopaedica·Huub J L van der HeideMaarten C de Waal Malefijt
Sep 1, 2005·The Journal of Bone and Joint Surgery. British Volume·K Trieb

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