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[Surgical treatment of metacarpo-phalangeal joints in patients with rheumatoid arthritis]
J Kubacki1, J Pozorski, Z Wasilewski
1Kliniki Ortopedii Katedry Reumatologii Sl. AM w Katowicach.
Abstract:
The results of surgical treatment of 195 metacarpo-phalangeal joints in 132 rheumatoid patients were evaluated. The indications for each of three operative methods were presented with clinical assessment and Larsen, Dahle, Eek scale of radiological changes taken into consideration. The results of 137 synovectomies, 32 joint replacements and 24 arthroplasties in 88% were rated as good and fair. The advantages of early synovectomy as well as joint replacement in advanced arthritis were underlined.