Arthroscopic Synovectomy of the Wrist in Rheumatoid Arthritis / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 633-637, 2002.
Artículo
en Coreano
| WPRIM
| ID: wpr-655677
ABSTRACT
PURPOSE:
We evaluated the therapeutic effectiveness of arthroscopic synovectomy in patients with rheumatoid wrists. MATERIALS ANDMETHODS:
Nineteen wrists in 18 patients (4 males and 14 females, average age 49.2 years) who had not responded to anti-rheumatic medications, were treated with arthroscopic synovectomy. Patients 'subjective symptoms were evaluated using a visual analogue scale for pain and satisfaction. Standard posteroanterior radiographs taken preoperatively and at the final follow up were ana-lyzed using the modified Larsen/Rau score system (normal, 0; total destruction, 40). The average follow up period was 29.5 months.RESULTS:
The mean preoperative pain score was 8.6 and this decreased to 3.6 one year after the operation, but increased to 4.4 at the final follow-up, suggesting a tendency of pain aggravation with time. The average satisfaction score at the final follow up was 6.3. The mean modi-fied Larsen/Rau score was 6.1 preoperatively and this increased to 8.4 at the final radiographs, demonstrating the slow progression of degen-erative changes. The severity of joint degeneration showed no correlation with the postoperative results.CONCLUSION:
Arthroscopic synovectomy of rheumatoid wrists results in an effective reduction of pain and high satisfaction. Prolonged bene-fit should be observed by long term follow-up.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Artritis Reumatoide
/
Artroscopía
/
Muñeca
/
Estudios de Seguimiento
/
Articulaciones
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Femenino
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
The Journal of the Korean Orthopaedic Association
Año:
2002
Tipo del documento:
Artículo
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