Clinical outcomes of arthroscopic synovectomy for adolescent or young adult patients with advanced haemophilic arthropathy
The aim of the present study was to assess the clinical outcomes of arthroscopic synovectomy in adolescent or young adult patients with advanced haemophilic arthropathy. From January 2009-January 2012, clinical data from 11 adolescent or young adult patients with advanced haemophilic arthropathy who...
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| Veröffentlicht in: | Experimental and therapeutic medicine 2018-11, Vol.16 (5), p.3883-3888 |
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| creator | Zhang, Ting Huang, Sihua Xu, Siyue Li, Haopeng He, Xijing Zhang, Feng |
| description | The aim of the present study was to assess the clinical outcomes of arthroscopic synovectomy in adolescent or young adult patients with advanced haemophilic arthropathy. From January 2009-January 2012, clinical data from 11 adolescent or young adult patients with advanced haemophilic arthropathy who were treated with arthroscopic synovectomy were retrospectively collected. The mean follow-up period was 71.91±5.28 months. The evaluated indicators included frequency of joint bleeding, range of motion (ROM), X-ray staging, hospital for special surgery (HSS) knee score and HSS pain scores. Joint bleeding frequency, pain degree and HSS scores significantly improved following arthroscopic synovectomy at the end of the follow up period. The ROM did not significantly improve. Among the 11 patients, radiographic stage remained unchanged in 9 cases whereas the remaining 2 cases progressed from stage IV to stage V. No patients required total knee arthroplasty through the end of the follow-up period. These findings suggested that arthroscopic synovectomy appears to an effective treatment option to decrease the frequency of bleeding and knee pain, improve knee function and delay knee joint arthroplasty to a certain extent for adolescent or young adult patients with advanced haemophilic knee arthropathy. |
| doi_str_mv | 10.3892/etm.2018.6709 |
| format | Article |
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From January 2009-January 2012, clinical data from 11 adolescent or young adult patients with advanced haemophilic arthropathy who were treated with arthroscopic synovectomy were retrospectively collected. The mean follow-up period was 71.91±5.28 months. The evaluated indicators included frequency of joint bleeding, range of motion (ROM), X-ray staging, hospital for special surgery (HSS) knee score and HSS pain scores. Joint bleeding frequency, pain degree and HSS scores significantly improved following arthroscopic synovectomy at the end of the follow up period. The ROM did not significantly improve. Among the 11 patients, radiographic stage remained unchanged in 9 cases whereas the remaining 2 cases progressed from stage IV to stage V. No patients required total knee arthroplasty through the end of the follow-up period. These findings suggested that arthroscopic synovectomy appears to an effective treatment option to decrease the frequency of bleeding and knee pain, improve knee function and delay knee joint arthroplasty to a certain extent for adolescent or young adult patients with advanced haemophilic knee arthropathy.</description><identifier>ISSN: 1792-0981</identifier><identifier>EISSN: 1792-1015</identifier><identifier>DOI: 10.3892/etm.2018.6709</identifier><identifier>PMID: 30344665</identifier><language>eng</language><publisher>Greece: Spandidos Publications UK Ltd</publisher><subject>Arthritis ; Bioengineering ; Clinical outcomes ; Hemophilia ; Hepatitis ; Hospitals ; Joint surgery ; Knee ; NMR ; Nuclear magnetic resonance ; Pain ; Patients ; Surgery ; Teenagers ; Young adults</subject><ispartof>Experimental and therapeutic medicine, 2018-11, Vol.16 (5), p.3883-3888</ispartof><rights>Copyright Spandidos Publications UK Ltd. 2018</rights><rights>Copyright: © Zhang et al. 2018</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-77ea88433e908adaa2586d21134b3f5935cf75cb80566b49765af599908c6ca03</citedby><cites>FETCH-LOGICAL-c415t-77ea88433e908adaa2586d21134b3f5935cf75cb80566b49765af599908c6ca03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176150/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176150/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30344665$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Ting</creatorcontrib><creatorcontrib>Huang, Sihua</creatorcontrib><creatorcontrib>Xu, Siyue</creatorcontrib><creatorcontrib>Li, Haopeng</creatorcontrib><creatorcontrib>He, Xijing</creatorcontrib><creatorcontrib>Zhang, Feng</creatorcontrib><title>Clinical outcomes of arthroscopic synovectomy for adolescent or young adult patients with advanced haemophilic arthropathy</title><title>Experimental and therapeutic medicine</title><addtitle>Exp Ther Med</addtitle><description>The aim of the present study was to assess the clinical outcomes of arthroscopic synovectomy in adolescent or young adult patients with advanced haemophilic arthropathy. From January 2009-January 2012, clinical data from 11 adolescent or young adult patients with advanced haemophilic arthropathy who were treated with arthroscopic synovectomy were retrospectively collected. The mean follow-up period was 71.91±5.28 months. The evaluated indicators included frequency of joint bleeding, range of motion (ROM), X-ray staging, hospital for special surgery (HSS) knee score and HSS pain scores. Joint bleeding frequency, pain degree and HSS scores significantly improved following arthroscopic synovectomy at the end of the follow up period. The ROM did not significantly improve. Among the 11 patients, radiographic stage remained unchanged in 9 cases whereas the remaining 2 cases progressed from stage IV to stage V. No patients required total knee arthroplasty through the end of the follow-up period. These findings suggested that arthroscopic synovectomy appears to an effective treatment option to decrease the frequency of bleeding and knee pain, improve knee function and delay knee joint arthroplasty to a certain extent for adolescent or young adult patients with advanced haemophilic knee arthropathy.</description><subject>Arthritis</subject><subject>Bioengineering</subject><subject>Clinical outcomes</subject><subject>Hemophilia</subject><subject>Hepatitis</subject><subject>Hospitals</subject><subject>Joint surgery</subject><subject>Knee</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Pain</subject><subject>Patients</subject><subject>Surgery</subject><subject>Teenagers</subject><subject>Young adults</subject><issn>1792-0981</issn><issn>1792-1015</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdkcGP1CAYxYnRuJt1j14NiRcvHaEUChcTM1ldk0286JkwlG7Z0FKBjun-9X51xo3KBXj88vI9HkKvKdkxqer3roy7mlC5Ey1Rz9AlbVVdUUL58_OZKEkv0HXODwQWF1RK_hJdMMKaRgh-iR73wU_emoDjUmwcXcaxxyaVIcVs4-wtzusUj86WOK64jwmbLgaXrZsKhtsal-ketCUUPJviQc74py8DaEczWdfhwbgxzoMPYHZyBnBYX6EXvQnZXZ_3K_T90823_W119_Xzl_3Hu8o2lJeqbZ2RsmHMKSJNZ0zNpehqSllzYD1XjNu-5fYgIZ44NKoV3ICsgLbCGsKu0IeT77wcRtdtgycT9Jz8aNKqo_H635fJD_o-HrWgraB8M3h3Nkjxx-Jy0aOH_CGYycUl65rWnNGaSQ7o2__Qh7ikCeL9pqhgQgmgqhNl4ZNzcv3TMJTorVgNxeqtWL0VC_ybvxM80X9qZL8A_Q-hrg</recordid><startdate>20181101</startdate><enddate>20181101</enddate><creator>Zhang, Ting</creator><creator>Huang, Sihua</creator><creator>Xu, Siyue</creator><creator>Li, Haopeng</creator><creator>He, Xijing</creator><creator>Zhang, Feng</creator><general>Spandidos Publications UK Ltd</general><general>D.A. 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From January 2009-January 2012, clinical data from 11 adolescent or young adult patients with advanced haemophilic arthropathy who were treated with arthroscopic synovectomy were retrospectively collected. The mean follow-up period was 71.91±5.28 months. The evaluated indicators included frequency of joint bleeding, range of motion (ROM), X-ray staging, hospital for special surgery (HSS) knee score and HSS pain scores. Joint bleeding frequency, pain degree and HSS scores significantly improved following arthroscopic synovectomy at the end of the follow up period. The ROM did not significantly improve. Among the 11 patients, radiographic stage remained unchanged in 9 cases whereas the remaining 2 cases progressed from stage IV to stage V. No patients required total knee arthroplasty through the end of the follow-up period. These findings suggested that arthroscopic synovectomy appears to an effective treatment option to decrease the frequency of bleeding and knee pain, improve knee function and delay knee joint arthroplasty to a certain extent for adolescent or young adult patients with advanced haemophilic knee arthropathy.</abstract><cop>Greece</cop><pub>Spandidos Publications UK Ltd</pub><pmid>30344665</pmid><doi>10.3892/etm.2018.6709</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Arthritis Bioengineering Clinical outcomes Hemophilia Hepatitis Hospitals Joint surgery Knee NMR Nuclear magnetic resonance Pain Patients Surgery Teenagers Young adults |
| title | Clinical outcomes of arthroscopic synovectomy for adolescent or young adult patients with advanced haemophilic arthropathy |
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