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Abstract
We performed 211 arthroscopic synovectomies over a 10-year period. The results were
assessed at follow-up of at least 2 years using the criteria of pain, synovitis, and
effusion, range of motion and function. In rheumatoid knees (112 cases), we had good
or excellent results in 80%. However, in seronegative arthritides (32 cases), only
60% were successful. Pigmented villonodular synovitis was successfully treated with
an 11% recurrence rate (19 cases total). Synovial chondromatosis (17 cases) had no
recurrences. In patients with nonspecific synovitis or posttraumatic synovitis, the
synovitis was improved in 60% but only half the patients had pain relief and good
function. Looking specifically at the posterior portals, there were five complications,
all related to the posteromedial portal involving the saphenous nerve and vein. Overall
excellent results can be achieved with due care and attention to detail.
Keywords
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References
- Arthroscopic synovectomy of the knee joint: Indication, technique and follow-up results.Arthroscopy. 1988; 4: 63-71
- Arthroscopic synovectomy of the knee for rheumatoid arthritis.Arthroscopy. 1991; 7: 91-97
- Pigmented villonodular synovitis of the knee.J Bane Joint Surg Am. 1992; 74: 119-123
- Generalized synovial chondromatosis of the knee—A comparison of removal of the loose bodies alone with arthroscopic synovectomy.Arthroscopy. 1994; 10: 166-170
- Comparison between arthroscopic and open synovectomy for the knee in rheumatoid arthritis.Arch Orthop Trauma Surg. 1986; 105: 257-262
- Long-term results of synovectomy of the knee in rheumatoid patients.J Bone Joint Surg Am. 1974; 56: 521-531
- Posterior portals for arthroscopic surgery of the knee.Arthroscopy. 1994; 10: 608
- Synovial chondromatosis.J Bone Joint Surg Br. 1988; 70: 807-811
- Pigmented villonodular synovitis of joints.Clin Orthop. 1982; 163: 159-166
- Long-term results of synovectomy in rheumatoid patients.J Bone Joint Surg Am. 1986; 68: 198-205
- Multi-centre evaluation of synovectomy in the treatment of rheumatoid arthritis—report of the results at the end of three years.Arthritis Rheum. 1977; 20: 765-771
- Controlled trial of synovectomy of the knee and metacarpalphalangeal joints in rheumatoid arthritis.Ann Rheum Dis. 1976; 35: 437-442
- Current concepts review.in: Pigmented villonodular synovitis. Ed 3. J Bone Joint Surg Am July. 69. 1987: 942-949
- The pathogenesis and long-term end results of pigmented villonodular synovitis.Clin Orthop. 1976; 114: 315-335
- Pigmented villonodular synovitis.in: A retrospective review of affected large joints. Ed 3. Clin Orthop. 247. 1989: 243-255
- Recurrent villonodular synovitis of the knee.in: Successful treatment with yttrium-90. Ed 3. Clin Orthop. 169. 1982: 139-144
- Arthroscopic management of synovial chondromatosis of the knee.J Bone Joint Surg Br. 1989; 71: 498-500
- Arthroscopic treatment of synovial chondromatosis of the knee.Arthroscopy. 1989; 5: 48-51
- Surgery for synovial chondromatosis.in: Twenty-six cases followed up for six years. Ed 3. Acta Orthop Scand. 61. 1990: 567-569
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© 1995 Published by Elsevier Inc.