Treatment of the ankle joint in rheumatoid arthritis with surgical and radiation synovectomy

Results of surgical synovectomy and radiation synovectomy (radiosynoviorthesis) of the tibiotalar joint in rheumatoid patients are reported. The staged concept for management of the rheumatoid ankle joint is presented which is based on the radiographic appearance of disease progression. Results of 1...

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Bibliographic Details
Published inDer Orthopäde Vol. 28; no. 9; pp. 785 - 791
Main Authors Rittmeister, M, Böhme, T, Rehart, S, Kerschbaumer, F
Format Journal Article
LanguageGerman
English
Published Germany 01.09.1999
Subjects
Ankle Joint - physiopathology
Ankle Joint - surgery
Arthritis, Rheumatoid - diagnosis
Arthritis, Rheumatoid - surgery
Humans
Radiotherapy - methods
Synovectomy
Synovial Membrane - physiopathology
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Summary:Results of surgical synovectomy and radiation synovectomy (radiosynoviorthesis) of the tibiotalar joint in rheumatoid patients are reported. The staged concept for management of the rheumatoid ankle joint is presented which is based on the radiographic appearance of disease progression. Results of 16 rheumatoid patients with disease to the ankle joint suggest that pain and walking capability is positively influenced by synovectomy and radiosynoviorthesis. Follow-up of 30 months revealed no deterioration of postoperative clinical improvement. In the absence of contraindications to radiosynoviorthesis it is suggested to combine arthroscopic synovectomy with radiosynoviorthesis for the treatment of early stages of rheumatoid disease of the ankle joint. Open synovectomy is preferred to arthroscopic synovectomy, if tenosynovectomy is simultaneously required.
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ISSN:0085-4530
1433-0431
DOI:10.1007/PL00003668