[Arthroscopic synovectomy of the knee joint in chronic juvenile arthritis].
We report on arthroscopic synovectomy of 19 knee joints in juvenile chronic arthritis with a mean follow-up of 2.2 years (1 to 4 years). In 15 cases the disease course was pauciarticular. Fourteen knee joints showed significant destructive lesions already preoperatively. In two-thirds of patients, we found a good or satisfactory result concerning especially reduction of synovial swelling and effusion. Eleven knee joints also received a significant functional improvement. Indication for arthroscopic synovectomy is given mainly in highly active mon- or pauciarthritis if conservative treatment remained insufficient. Of special importance is an intensive postoperative physiotherapy.
Häfner
R
R
Rheumakinderklinik Rummelsberger Anstalten, Garmisch-Partenkirchen.
Pieper
M
M
D000293:Adolescent; D000328:Adult; D001171:Arthritis, Juvenile / Q000473:pathology / Q000601:surgery*; D001182:Arthroscopy / Q000379:methods*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000473:pathology / Q000601:surgery*; D008297:Male; D000074402:Synovectomy; D013583:Synovial Membrane / Q000473:pathology; D016896:Treatment Outcome
Arthroskopische Kniegelenkssynovektomie bei juveniler chronischer Arthritis.