Synovectomy in rheumatoid arthritis

Authors

  • Dr. Edward S. Mongan MD,

    Corresponding author
    1. Chief of Rheumatology, San Fernando Veterans Administration Hospital, and Assistant Professor of Medicine, UCLA, Los Angeles, Calif
    • The vererans hospital, 13000 sayre st, san fernando, calif 91342
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  • William M. Boger MD,

    1. Clinical Assistant Professor of Orthopedics, University of Rochester, Rochester, NY
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  • Bruce C. Gilliland MD,

    1. Clinical Investigator, Veterans Administration Hospital, and Assistant Professor of Medicine, University of Washington, Seattle, Wash
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  • Sanford Meyerowitz MD

    1. Departments of Medicine, Orthopedics and Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, NY.
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Abstract

The consensus of three physicians regarding the results of 84 synovectomies performed in the joints of 60 patients with rheumatoid arthritis was obtained; 43 joints were considered better, 17 unchanged, and 24 worse than they were before surgery. At an average of 2.5 years after surgery, synovial swelling recurred in 70% of the joints; in 67%, there was evidence of radiographic progression in the operated joint. These data suggest that synovectomy temporarily slows the disease in the operated joint but that the rheumatoid process probably will recur eventually.

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