Advertisement

Points of view about synovectomy of the ankle joint in rheumatoid arthritis

  • H. Thabe

Abstract

We report of mid- and longterm results of open synovectomy of the ankle joint. Between 1984 and 1999 66 ankle joints in 55 patients with rheumatoid arthritis undervent an open synovectomy. 23 cases needed an additional tenosynovectomy and a supplementary arthrodesis was performed in 30 ankles. The mean age at operation was 52 years, 3 patients died and 5 were lost at time of follow up. The mean follow-up period was 6.4 years, ranging from 2 to 15 years. Clinical examination was based on the Kofoed-ankle-score and all patients undervent a radiological staging orientated on Larsen, Dale and Eek.

Keywords

Rheumatoid Arthritis Ankle Joint Tibialis Posterior Total Ankle Arthroplasty Fibular Collateral Ligament 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Akagi S, Sugano H, Ogawa R (1997) The long-term results of ankle synovectomy for rheumatoid arthritis. Clin Rheumatol 16: 284–90PubMedCrossRefGoogle Scholar
  2. 2.
    Beck E. (1990) Verletzungen des distalen Schienenbeinendes und des Sprunggelenkes. In Breitner B (Hrsg): Chirurgische Operationslehre, Band XI, Urban & Schwarzenberg, München 174–5Google Scholar
  3. 3.
    Biehl C, Schill S, Thabe H (2001) Mittel-und Langfristige Ergebnisse nach Sprunggelenkssynovektomien. Orthop. Praxis 37: 814–7Google Scholar
  4. 4.
    Eyring EJ, Longert A, Bass JC (1971) Synovectomy in juvenile rheumatoid arthritis. Indications and short-term results. J. Bone Joint Surg Am 53: 638–49PubMedGoogle Scholar
  5. 5.
    Gschwend N (1977) Die operative Behandlung der chronischen Polyarthritis. Thieme, Stuttgart, New York, S 269–72Google Scholar
  6. 6.
    Larsen A, Dahle K, Eek M (1977) Radiographic evaluation of rheumatoid arthritis and related conditions by standard reference films. Acta Radiol 18: 481–91Google Scholar
  7. 7.
    Kerschbaumer F, Kandziora F, Herresthal J et al. (1998) Synovektomie und Synoviorthese als Kombinationstherapie bei rheumatoider Arthritis. Der Orthopäde 27: 188–96PubMedGoogle Scholar
  8. 8.
    Kerschbaumer F (1995) Alloarthroplastik des Sprunggelenkes. Synovektomie des oberen Sprunggelenkes. In: Bauer R., Kerschbaumer F., Poisel S. (Hrsg.): Orthopädische Operationslehre. Becken und untere Extremität Bd II/2 Thieme, Stuttgart, New YorkGoogle Scholar
  9. 9.
    Kofoed H, Danborg L (1995) Biological fixation of total ankle arthroplasty. Food 5 pp. 27–31Google Scholar
  10. 10.
    Mohing W, Köhler G, Colewey J (1982) Synovectomy of the ankle joint. Int. Orthopaedics 6: 117–21CrossRefGoogle Scholar
  11. 11.
    Rittmeister M, Böhme T, Rehart S, et al. (1999) Die Behandlung der rheumatischen oberen Sprunggelenkes mit Synovektomie und Radiosynoviorthese. Der Orthopäde 28: 785–91PubMedGoogle Scholar
  12. 12.
    Tressel W Schattenhofer K, Gebhart J (1998): Synovektomie des oberen Sprunggelenkes 10-Jahres-Ergebnisse. Vortrag ARO-Tagung, ZürichGoogle Scholar
  13. 13.
    Tillmann K (1977): Der rheumatische Fuss und seine Behandlung. In Otte P., Schlegel KF. (Hrsg.): Bücherei des Orthopäden, Bn 18: 77–78, Enke, StuttgartGoogle Scholar
  14. 14.
    Wolfram U (1997) Die Sprunggelenke. In Thabe H. (Hrsg): Praktische Rheumaorthopädie, Chapman & Hall, WeinheimGoogle Scholar

Additional references

  1. .
    Matsumoto Y, Tanaka K, Hirata G, et al. (2002) Possible involvement of the VEGF receptor Fit-1-focal adhesion kinase pathway in chemotaxis and the cell proliferation of osteoclasts precursor cells in the arthritic joint. J Immunol 168: 5824–31PubMedGoogle Scholar

Copyright information

© Springer Verlag France 2006

Authors and Affiliations

  • H. Thabe
    • 1
  1. 1.Bad KreuznachGermany

Personalised recommendations