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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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© 1995 Published by Elsevier Inc.
