Japanese Journal of Rheumatism and Joint Surgery
Online ISSN : 1884-9059
Print ISSN : 0287-3214
ISSN-L : 0287-3214
Synovectomy and Cutis (Skin) Interposition Arthroplasty of the Elbow in Rheumatoid Arthritis -A More Than Five Years Follow-up Study
Koichiro ISHIKAWAHiroshi MIZUTATakashi OHIRASaburo MATSUBARAIkuko MASUDAToshio KITAGAWA
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1987 Volume 6 Issue 2 Pages 181-199

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Abstract
Ten synovectomies and ten cutis arthroplasties of the elbow were performed in patients with rheumatoid arthritis. Of 10 synovectomies, 2 were simple synovectomy without excising the radial head and 8 were radical synovectomy with the combined procedures of release of soft tissues and bone resection. These patients were followed up postoperatively for a minimum period of five years (average, 6.3 years in synovectomy and 7.6 years in cutis arthroplasty) . Postoperative clinical result of synovectomy was graded as excellent in two, good in seven, and fair in one elbow. The result of cutis arthroplasty was graded as excellent in one, good in five, and fair in four elbows.
It is considered that relief of pain and improvement of mobility can be expected even at an advanced stage by radical synovectomy, and cutis arthroplasty is of value for elbows with fibrous or osseal ankylosis.
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© Japanese Society for Joint Diseases
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