Indikation:

Kemdt RA, med Synovitis :

Smerter

nedsat ROM

uden bedring på medicinsk behandling. NSAID/DMARD etc.

 

Behandling:

Skopisk syvektomi frem for åbent er at foretrække, grundet lavere komorbiditet/ komplikations rate.

Grad 0-2 arthose grad / pæne brusk forholde profiterer mest.

 

Forventet resultat:

Man kan generalt forvente en bedring på smerter og ROM, men :

ca 30 % recidiv rate inden for 4-5 år 

 

International Surgery Journal Ali MKM et al. Int Surg J. 2016 Nov;3(4):1705-1710 http://www.ijsurgery.com

The Knee Volume 23, Issue 5, October 2016, Pages 862-866

Arthroscopy: The Journal of Arthroscopic & Related Surgery Volume 7, Issue 1, March 1991, Pages 91-97

Improved quality of life and joint functions in patients with knee rheumatoid arthritis who underwent five portal arthroscopic synovectomy.