Synovectomy Of Knee Research Articles

Knee synovectomy in hemophilia.

ABSTRACT: We sent questionnaires to 268 hemophilia clinics in the United States, asking about their experiences with knee synovectomy in hemophilic patients, and 86 clinics responded. Of those responding, 22 clinics reported a total of 65 synovectomies, one to seven cases per clinic, in patients ranging from 4 to 56 years of age. Follow-up periods ranged from six months to eight years. The indication for synovectomy was failure of medical management to control recurrent bleeding into the joint; preoperative frequency of bleeding ranged from 1 to 20 hemarthroses per month. Factor replacement for the surgery and postoperative period provided factor levels of 20 to 100%, for five days to three weeks. All but three surgeons routinely used a drain. Physical therapy was begun an average of ten days after surgery (median, 5 days) and consisted of isometric, active-assisted or active range-of-motion exercises. Some clinics used manipulation from 7 to 14 days after surgery; one manipulation was done three months after surgery with an improvement in range of motion. Most patients lost range of flexion postoperatively (from 10 to 50° lost). Four cases of postoperative ankylosis were reported. After synovectomy the frequency of hemarthrosis decreased in ail patients (0-1 /mo). We believe synovectomy can be useful for carefully selected patients in whom nonsurgical management has been ineffective, when done in centers with full laboratory and physical therapy support.

Post-synovectomy changes in the articular cartilage

Synovectomy of the left knee was performed in 37 immature rabbits, using the right knee for control. In the first set of experiments the articular cartilage was examined at weekly intervals for 8 weeks following the operation, paying particular attention to the metachromatic changes in the ground substance of the cartilage. In the second set of experiments, restoration of synovium was examined. In the third and fourth set of experiments, the uptake of S35 by the cartilage was assessed using autoradiography and densitometry. In the fifth set of experiments, alterations in S35 uptake by the chondrocitic cells of the cartilage were studied by electron microscopy.

Experience with knee synovectomy in Norwich 1964–1973 : D. Jones and J.G. Taylor, Acta orthop. scand., 47 (1976) 423–431

Thirty-six patients (43 knees) who underwent anterior synovectomy for rheumatoid disease between 1964and 1973 have been personally reviewed. The notes and X-rays of a further seven patients (10 knees) have been examined.Twenty-five per cent of the knees were failures at the time of review, but only two were failures from the outset.The indications for the operation and also the contraindications are described and evaluated.It is concluded that1.In the rheumatoid knee, anterior synovectomy is a pain relieving operation.2.The indications are wider than classically stated, and can include knees with full thickness cartilage destruction, and flexion deformities up to 20°.3.The majority of knees fail because of secondary degenerative change, and this is manifested by pain rather than stiffness.4.Postoperative manipulation does not prejudice the final result.5.Associated popliteal cysts (five in this series) can be cured by anterior synovectomy.

Controlled trial of synovectomy of knee and metacarpophalangeal joints in rheumatoid arthritis

In a multicentre study patients with rheumatoid arthritis judged by prevailing criteria to be suitable for synovectomy of the knee or metacarpophalangeal (MCP) joints were randomly allocated to one of two groups. One group had the operation, the other was observed without operation from a notional corresponding date. 3 years later the outcome of synovectomy was compared with that of observation without synovectomy. Synovectomy of the knee was followed by significantly less pain and tenderness, smaller effusions, and smaller and less frequent erosions and geodes. By contrast, MCP joints were no better clinically or radiographically than those treated conservatively. The results have been compared with those of two other controlled trials, one concerned with the knee and MCP joints, the other only with MCP joints. In the present trial results were more favourable in the knee but comparable in the MCP joints with those reported in the first of these two trials but less favourable in the MCP joints than those observed in the second.

Experience with knee synovectomy in Norwich, 1964-1973.

Thirty-six patients (43 knees) who underwent anterior synovectomy for rheumatoid disease between 1964 and 1973 have been personaly reviewed. The notes and X-rays of a further seven patients (10 knees) have been examined. Twenty-five per cent of the knees were failures at the time of review, but only two were failures from the outset. The indications for the operation and also the contraindications are described and evaluated. It is concluded that: 1. In the rheumatoid knee, anterior synovectomy is a pain relieving operation. 2. The indications are wider than classically stated, and can include knees with full thickness cartilage destruction, and flexion deformities up to 20 degrees. 3. The majority of knees fail because of secondary degenerative change, and this is manifested by pain rather than stiffness. 4. Postoperative manipulation does not prejudice the final result. 5. Associated popliteal cysts (five in this series) can be cured by anterior synovectomy.

Pigmented villonodular synovitis in multiple joints. Occurrence in a child with cavernous haemangioma of lip and pulmonary stenosis.

A case is presented of pigmented villonodular synovitis involving three joints in a 7-year-old girl. The diagnosis was confirmed at surgery and by histology. The patient also exhibited a haemangioma of the upper lip and a congenital pulmonary stenosis of mild degree. Subtotal synovectomy of the right knee and of both ankles was performed. The lesion recurred in both ankles after 6 months. Review of the literature failed to reveal any previous report of multiple joint involvement by pigmented villonodular synovitis in childhood and it appears that simultaneous involvement of three joints has not previously been described. Scintiscanning with 99mTc stannous pyrophosphate showed increased vascularity of the involved joints immediately after injection, but no increased osteoblastic activity was seen on the delayed scan. This radionuclide scanning technique is therefore helpful in distinguishing pigmented villonodular synovitis from other arthropathies.

On the problem of recurrence after knee synovectomy in rheumatoid arthritis.

On the problem of recurrence after knee synovectomy in rheumatoid arthritis.

Role of Knee Synovectomy in Rheumatoid Arthritis

Role of Knee Synovectomy in Rheumatoid Arthritis

Synovectomy of the Rheumatoid Knee

Synovectomy of the Rheumatoid Knee

Synovectomy of the Rheumatoid Knee

Synovectomy of the Rheumatoid Knee

Synovectomy of Knee for Chronic Synovitis following Trauma

Synovectomy of Knee for Chronic Synovitis following Trauma

Synovectomy of Knee for Chronic Non-Traumatic Synovitis

Synovectomy of Knee for Chronic Non-Traumatic Synovitis