[Long-term results of surgical synovectomies of the rheumatoid wrist. Apropos of 60 cases].
Sixty rheumatoid wrists operated on for tendon articular synovectomies and resection of the ulnar head have been reviewed with an average follow-up of 5 years and 4 months. One-third of these patients who presented an average follow-up of 8 years and 8 months have been isolated for the radio-clinical analysis. The results on pain are good (78 per cent of patients are painless at 5 years and 67 per cent at 8 years); 80 per cent present no recurrence of tenosynovitis, and 75 per cent show a functional improvement. The study of mobility sectors shows a loss of 28 per cent on the sagittal plane and 21 per cent on the frontal plane at 5 years, which increases respectively at 33 per cent and 41 per cent at 8 years, with however a sector of useful mobility preserved. The prehension strength decreases but the parameter must take into account the polyarticular evolution of the disease. If long-term results are clinically satisfactory, isolated synovectomy does not prevent radiological aggravation which is due to the evolution of the disease. This is the reason why, prevently, intracarpal arthrodeses or tendon transfers must also be performed, when there are signs of instability or partial wrist destructions.
Allieu
Y
Y
Service de Chirurgie Orthopédique et Chirurgie de la Main (CHU Montpellier), Hôpital Lapeyronie.
Lussiez
B
B
Asencio
G
G
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000150:complications / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology / Q000601:surgery*; D012008:Recurrence; D000074402:Synovectomy; D013585:Synovitis / Q000209:etiology / Q000601:surgery*; D013997:Time Factors; D014955:Wrist Joint / Q000601:surgery*
Résultats à long terme des synovectomies chirurgicales du poignet rhumatoïde. A propos de 60 cas.