Results of dorsal wrist synovectomies in the rheumatoid hand.
Seventy-eight patients with rheumatoid arthritis had 102 dorsal wrist tenosynovectomies, intraarticular synovectomies, and Darrach resection from 1962 to 1982. Follow-up after surgery averaged 11 years, with a range from 3 to 20 years. Pain was diminished in all but 17 wrists and motion decreased an average of 13 degrees. Synovitis recurred in 16 wrists and x-ray evidence of progressive intraarticular destruction was seen in 45 wrists. Revision surgery was necessary in 28 wrists.
Brumfield
R
R
University of Southern California, Department of Orthopaedic Surgery, Rancho Los Amigos Medical Center, Downey.
Kuschner
S H
SH
Gellman
H
H
Liles
D N
DN
Van Winckle
G
G
D000293:Adolescent; D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies; D013585:Synovitis / Q000175:diagnosis / Q000601:surgery*; D013710:Tendons / Q000601:surgery*; D014457:Ulna / Q000033:anatomy & histology / Q000601:surgery*; D014953:Wrist / Q000033:anatomy & histology / Q000601:surgery*