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Elbow synovectomy in rheumatoid arthritis
C M Jensen1, S W Rasmussen, M Haugegaard
1Department of Orthopedic Surgery Naestved Hospital, Denmark.
Acta Orthopaedica Belgica
|September 1, 1996
Summary
Elbow synovectomy improved pain and function in 74% of rheumatoid arthritis patients. Despite significant radiographic progression, this procedure is a good option for moderate elbow destruction.
Area of Science:
- Orthopedic Surgery
- Rheumatology
- Clinical Research
Background:
- Rheumatoid arthritis commonly affects the elbow joint.
- Elbow synovectomy is a surgical option for managing rheumatoid arthritis in the elbow.
Purpose of the Study:
- To evaluate the clinical and radiographic outcomes of elbow synovectomy in rheumatoid arthritis patients.
- To determine the efficacy and safety of elbow synovectomy for moderate elbow destruction.
Main Methods:
- A clinical and radiographic follow-up study was conducted.
- Twenty-five elbows in 24 rheumatoid arthritis patients were assessed post-surgery.
- Median follow-up was 52 months.
Main Results:
- Nineteen patients (74%) reported improved pain and function.
- No statistically significant improvement in joint motion was observed.
- Radiographic analysis revealed statistically significant progressive joint changes.
- Three minor complications occurred without permanent sequelae.
Conclusions:
- Elbow synovectomy can be a beneficial treatment for rheumatoid arthritis with moderate elbow destruction.
- The procedure offers significant pain and functional improvement for a majority of patients.
- While radiographic changes may progress, synovectomy can still be indicated.