The therapeutic outcome of minimally invasive synovectomy assisted with arthroscopy in the rheumatoid knee
Abstract The purpose of the present study was to retrospectively evaluate the therapeutic outcome of minimally invasive synovectomy assisted with arthroscopy (MISAA). From 1995 to 2003, MISAA was performed on 30 knees of 18 rheumatoid arthritis patients. The mean follow-up period was 74.4 months. Ra...
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| Veröffentlicht in: | Modern rheumatology 2006-12, Vol.16 (6), p.360-363 |
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| creator | Ogawa, Hiroyasu Itokazu, Mansho Ito, Yoshiki Fukuta, Masashi Shimizu, Katsuji |
| description | Abstract
The purpose of the present study was to retrospectively evaluate the therapeutic outcome of minimally invasive synovectomy assisted with arthroscopy (MISAA). From 1995 to 2003, MISAA was performed on 30 knees of 18 rheumatoid arthritis patients. The mean follow-up period was 74.4 months. Radiographic assessment according to Larsen's radiological classification, the conversion ratio to total knee arthroplasty (TKA), and postoperative change of the range of flexion were evaluated retrospectively. There were 10 knees in grade I, 14 knees in grade II, and 6 knees in grade III, preoperatively. All the knees in grade I and 8 of 14 knees in grade II maintained the same grade until the latest follow-up. The other 6 knees in grade II and all the knees in grade III deteriorated to grade IV and were converted to TKA after MISAA. The mean range of flexion significantly increased postoperatively except the knees that were converted to TKA. MISAA is effective for rheumatoid knees in grade I or II, and improves range of flexion. |
| doi_str_mv | 10.3109/s10165-006-0526-y |
| format | Article |
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The purpose of the present study was to retrospectively evaluate the therapeutic outcome of minimally invasive synovectomy assisted with arthroscopy (MISAA). From 1995 to 2003, MISAA was performed on 30 knees of 18 rheumatoid arthritis patients. The mean follow-up period was 74.4 months. Radiographic assessment according to Larsen's radiological classification, the conversion ratio to total knee arthroplasty (TKA), and postoperative change of the range of flexion were evaluated retrospectively. There were 10 knees in grade I, 14 knees in grade II, and 6 knees in grade III, preoperatively. All the knees in grade I and 8 of 14 knees in grade II maintained the same grade until the latest follow-up. The other 6 knees in grade II and all the knees in grade III deteriorated to grade IV and were converted to TKA after MISAA. The mean range of flexion significantly increased postoperatively except the knees that were converted to TKA. MISAA is effective for rheumatoid knees in grade I or II, and improves range of flexion.</description><identifier>ISSN: 1439-7595</identifier><identifier>EISSN: 1439-7609</identifier><identifier>DOI: 10.3109/s10165-006-0526-y</identifier><identifier>PMID: 17164997</identifier><language>eng</language><publisher>United States: Informa Healthcare</publisher><subject>Arthritis, Rheumatoid - diagnostic imaging ; Arthritis, Rheumatoid - physiopathology ; Arthritis, Rheumatoid - surgery ; Arthroscopy - methods ; Exercise ; Female ; Humans ; Knee ; Knee - diagnostic imaging ; Knee - physiopathology ; Knee - surgery ; Male ; Minimally invasive surgery ; Minimally Invasive Surgical Procedures - methods ; Radiography ; Range of Motion, Articular ; Retrospective Studies ; Rheumatoid arthritis ; Synovectomy ; Synovial Membrane - diagnostic imaging ; Treatment Outcome</subject><ispartof>Modern rheumatology, 2006-12, Vol.16 (6), p.360-363</ispartof><rights>2006 Japan College of Rheumatology 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2547-de5dda7a80f7018877bb12d1c3b0fdfa9f53a3d6f8fb394b1e537849827be8263</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17164997$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ogawa, Hiroyasu</creatorcontrib><creatorcontrib>Itokazu, Mansho</creatorcontrib><creatorcontrib>Ito, Yoshiki</creatorcontrib><creatorcontrib>Fukuta, Masashi</creatorcontrib><creatorcontrib>Shimizu, Katsuji</creatorcontrib><title>The therapeutic outcome of minimally invasive synovectomy assisted with arthroscopy in the rheumatoid knee</title><title>Modern rheumatology</title><addtitle>Mod Rheumatol</addtitle><description>Abstract
The purpose of the present study was to retrospectively evaluate the therapeutic outcome of minimally invasive synovectomy assisted with arthroscopy (MISAA). From 1995 to 2003, MISAA was performed on 30 knees of 18 rheumatoid arthritis patients. The mean follow-up period was 74.4 months. Radiographic assessment according to Larsen's radiological classification, the conversion ratio to total knee arthroplasty (TKA), and postoperative change of the range of flexion were evaluated retrospectively. There were 10 knees in grade I, 14 knees in grade II, and 6 knees in grade III, preoperatively. All the knees in grade I and 8 of 14 knees in grade II maintained the same grade until the latest follow-up. The other 6 knees in grade II and all the knees in grade III deteriorated to grade IV and were converted to TKA after MISAA. The mean range of flexion significantly increased postoperatively except the knees that were converted to TKA. MISAA is effective for rheumatoid knees in grade I or II, and improves range of flexion.</description><subject>Arthritis, Rheumatoid - diagnostic imaging</subject><subject>Arthritis, Rheumatoid - physiopathology</subject><subject>Arthritis, Rheumatoid - surgery</subject><subject>Arthroscopy - methods</subject><subject>Exercise</subject><subject>Female</subject><subject>Humans</subject><subject>Knee</subject><subject>Knee - diagnostic imaging</subject><subject>Knee - physiopathology</subject><subject>Knee - surgery</subject><subject>Male</subject><subject>Minimally invasive surgery</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Radiography</subject><subject>Range of Motion, Articular</subject><subject>Retrospective Studies</subject><subject>Rheumatoid arthritis</subject><subject>Synovectomy</subject><subject>Synovial Membrane - diagnostic imaging</subject><subject>Treatment Outcome</subject><issn>1439-7595</issn><issn>1439-7609</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1v1DAQhi0Eoh_wA7ggn3pLseM4tgUXVBVaqRKXcrYce6x4SeLFdrbKv2-iXYQ4lNPM4X0fzTwIfaDkmlGiPmVKaMsrQtqK8LqtllfonDZMVaIl6vWfnSt-hi5y3hHCuJLqLTqjgraNUuIc7R57wKWHZPYwl2BxnIuNI-Do8RimMJphWHCYDiaHA-C8TPEAtsRxwSbnkAs4_BRKj00qfYrZxv0W35A49TCPpsTg8K8J4B16482Q4f1pXqKf324fb-6qhx_f72--PlS25o2oHHDnjDCSeEGolEJ0Ha0dtawj3nmjPGeGudZL3zHVdBQ4E7JRshYdyLpll-jqyN2n-HuGXPQYsoVhMBPEOetW1s1qi61Begza9fCcwOt9Wh9Oi6ZEb4L1UbBeBetNsF7WzscTfO5GcH8bJ6Nr4MsxECYf02ieYhqcLmYZYvLJTDbkjf0y__M_9R7MUHprEuhdnNO0ivvPdc_gZ6FK</recordid><startdate>20061201</startdate><enddate>20061201</enddate><creator>Ogawa, Hiroyasu</creator><creator>Itokazu, Mansho</creator><creator>Ito, Yoshiki</creator><creator>Fukuta, Masashi</creator><creator>Shimizu, Katsuji</creator><general>Informa Healthcare</general><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20061201</creationdate><title>The therapeutic outcome of minimally invasive synovectomy assisted with arthroscopy in the rheumatoid knee</title><author>Ogawa, Hiroyasu ; Itokazu, Mansho ; Ito, Yoshiki ; Fukuta, Masashi ; Shimizu, Katsuji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2547-de5dda7a80f7018877bb12d1c3b0fdfa9f53a3d6f8fb394b1e537849827be8263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Arthritis, Rheumatoid - diagnostic imaging</topic><topic>Arthritis, Rheumatoid - physiopathology</topic><topic>Arthritis, Rheumatoid - surgery</topic><topic>Arthroscopy - methods</topic><topic>Exercise</topic><topic>Female</topic><topic>Humans</topic><topic>Knee</topic><topic>Knee - diagnostic imaging</topic><topic>Knee - physiopathology</topic><topic>Knee - surgery</topic><topic>Male</topic><topic>Minimally invasive surgery</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Radiography</topic><topic>Range of Motion, Articular</topic><topic>Retrospective Studies</topic><topic>Rheumatoid arthritis</topic><topic>Synovectomy</topic><topic>Synovial Membrane - diagnostic imaging</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ogawa, Hiroyasu</creatorcontrib><creatorcontrib>Itokazu, Mansho</creatorcontrib><creatorcontrib>Ito, Yoshiki</creatorcontrib><creatorcontrib>Fukuta, Masashi</creatorcontrib><creatorcontrib>Shimizu, Katsuji</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Modern rheumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ogawa, Hiroyasu</au><au>Itokazu, Mansho</au><au>Ito, Yoshiki</au><au>Fukuta, Masashi</au><au>Shimizu, Katsuji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The therapeutic outcome of minimally invasive synovectomy assisted with arthroscopy in the rheumatoid knee</atitle><jtitle>Modern rheumatology</jtitle><addtitle>Mod Rheumatol</addtitle><date>2006-12-01</date><risdate>2006</risdate><volume>16</volume><issue>6</issue><spage>360</spage><epage>363</epage><pages>360-363</pages><issn>1439-7595</issn><eissn>1439-7609</eissn><abstract>Abstract
The purpose of the present study was to retrospectively evaluate the therapeutic outcome of minimally invasive synovectomy assisted with arthroscopy (MISAA). From 1995 to 2003, MISAA was performed on 30 knees of 18 rheumatoid arthritis patients. The mean follow-up period was 74.4 months. Radiographic assessment according to Larsen's radiological classification, the conversion ratio to total knee arthroplasty (TKA), and postoperative change of the range of flexion were evaluated retrospectively. There were 10 knees in grade I, 14 knees in grade II, and 6 knees in grade III, preoperatively. All the knees in grade I and 8 of 14 knees in grade II maintained the same grade until the latest follow-up. The other 6 knees in grade II and all the knees in grade III deteriorated to grade IV and were converted to TKA after MISAA. The mean range of flexion significantly increased postoperatively except the knees that were converted to TKA. MISAA is effective for rheumatoid knees in grade I or II, and improves range of flexion.</abstract><cop>United States</cop><pub>Informa Healthcare</pub><pmid>17164997</pmid><doi>10.3109/s10165-006-0526-y</doi><tpages>4</tpages></addata></record> |
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| ispartof | Modern rheumatology, 2006-12, Vol.16 (6), p.360-363 |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Arthritis, Rheumatoid - diagnostic imaging Arthritis, Rheumatoid - physiopathology Arthritis, Rheumatoid - surgery Arthroscopy - methods Exercise Female Humans Knee Knee - diagnostic imaging Knee - physiopathology Knee - surgery Male Minimally invasive surgery Minimally Invasive Surgical Procedures - methods Radiography Range of Motion, Articular Retrospective Studies Rheumatoid arthritis Synovectomy Synovial Membrane - diagnostic imaging Treatment Outcome |
| title | The therapeutic outcome of minimally invasive synovectomy assisted with arthroscopy in the rheumatoid knee |
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