[Synovectomy in rheumatoid arthritis].
Surgical synovectomy in the treatment of rheumatoid arthritis has been performed for more than a 100 years, and yet the definite indication has not been made clear. Synovectomy has a convincing, but mostly time-limited effect on pain and articular hydrops, but the radiological progression continues almost undisturbed. Histological evaluation of the regenerating synovial membrane has now shown a tendency towards reversing to baseline within about a year. The difficulties in evaluating the operation are caused by the lack of comparable randomized studies performed on large populations, treated in a double-blind fashion and examined in cooperation between surgeon and rheumatologist.
Lassen
C F
CF
Fysiurgisk/reumatologisk afdeling U, Amtssygehuset i Gentofte.
Jensen
C M
CM
Tørholm
C
C
Krohn
L M
LM
Pelck
R
R
D001172:Arthritis, Rheumatoid / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000175:diagnosis; D000074402:Synovectomy; D013583:Synovial Membrane / Q000473:pathology
Synovektomi ved reumatoid arthritis.