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Arthroscopic synovectomy of the knee joint for rheumatoid arthritis

Abstract

Objective

To investigate the effect of knee arthroscopic synovectomy (AS) on the disease activity, quality-of-life (QoL), and the functional status of patients with rheumatoid arthritis (RA).

Materials and methods

A retrospective analysis was conducted on the outcomes of AS performed on 138 RA patients; pre-surgery assessments were done using Disease Activity score (DAS 28) and Routine Assessment of Patient Index Data З (RAPID-3) on а multidimensional health-assessment questionnaire for disease activity, EuroQol-5D (EQ-5D) and the Short-Form Medical Outcomes Study (SF-36) for quality of life, and the Health Assessment Questionnaire (HAQ) for functional status. The pain response to SA was measured by а visual analogue score (VAS) and the Knee Society Score (KSS).

Results

All parameters assessed in the study showed significant positive changes: the activity of the disease decreased, and patients’ functional status and QoL improved.

Conclusion

AS is effective treatment for recurrent synovitis of the knee in RA patients. This technique improves the functional status of patients and their quality of life and reduces the activity of the disease.

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Correspondence to Marina Lipina.

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The authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration ant its later amendments or comparable ethical standards.

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Lipina, M., Makarov, M., Mukhanov, V. et al. Arthroscopic synovectomy of the knee joint for rheumatoid arthritis. International Orthopaedics (SICOT) 43, 1859–1863 (2019). https://doi.org/10.1007/s00264-018-4160-z

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Keywords

  • Rheumatoid arthritis
  • Synovectomy
  • Knee
  • Arthroscopy
  • Quality of life
  • Synovitis