PMID: 15366669Sep 16, 2004Paper

Treatment of knee osteoarthritis by arthroscopic synovectomy and debridement of cartilage lesions--late results

Folia medica
Stefka I Kuzmanova

Abstract

Osteoarthritis (OA) is accompanied by degeneration and destruction of the articular cartilage, development of inflammatory process in the synovial membrane and periarticular tissues. Despite the introduction of new modern medications, the articular inflammatory changes often progress and therapy gives only a transitory improvement. Arthroscopic synovectomy (AS) in knee OA combined with resection of the cartilage lesions is a mild operative procedure and is not associated with postoperative joint stiffness and necessity of continuous rehabilitation. The aim of our study was to assess the late results in primary OA of the knee joint after arthroscopic synovectomy with resection of the cartilage lesions and tidal lavage. AS was performed in 71 patients with primary knee OA and chronic synovitis. The diagnosis OA of the knee joint was made according the criteria of American College of Rheumatology (1986). All patients, included in the study, had OA resistant to the conventional treatment. The arthroscopy was performed with a 30 degrees oblique optical system under local anesthesia. The synovectomy was performed with rotative resectors. The toilet of the articular cartilage includes the removal of macroscopic non-vital cartilage and...Continue Reading

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