The long-term results of ankle joint synovectomy for rheumatoid arthritis

1997 ◽  
Vol 16 (3) ◽  
pp. 284-290 ◽  
Author(s):  
S. Akagi ◽  
H. Sugano ◽  
R. Ogawa
Keyword(s):  
Rheumatoid Arthritis ◽  
Ankle Joint ◽  
Long Term Results

scholarly journals AB0858 TREATMENT ALGORITHM FOR ANKLE OSTEOCHONDRAL LESIONS AND DEFECTS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1736.2-1736
Author(s):  
O. Burianov ◽  
L. Khimion ◽  
T. Omelchenko ◽  
E. Levitskyi ◽  
V. Lyanskorynsky
Keyword(s):  
Bone Marrow ◽  
Ankle Joint ◽  
Bone Marrow Cells ◽  
Traditional Approach ◽  
Treatment Algorithm ◽  
Main Group ◽  
Long Term Results ◽  
Osteochondral Lesions ◽  
Traditional Treatment

Background:traumatic ankle joint osteochondral lesions and defects (OHLD) is frequent cause of OA, chronic pain and loss of joint function; results of traditional treatment strategy are often unsatisfyingObjectives:to develop treatment algorithm for OHLD based on evaluation of previously determined main prognostic factors.Methods:the analysis of long-term (36 ± 4.5 months) treatment results of 239 patients after traumatic ankle joint OHLD revealed the following factors with the greatest predictive value (defined by PC – prognostic coefficient) for good result of treatment (defined as AOFAS function score 75-100 points): age < 40 years (PC = 8.5); size of OHLD ≤ 1.0 cm2; volume ≤ 1.5 cm3(PC = 8.0); osteoarthritis stage ≤ II (PC = 7.2). Based on these factors, a step-by-step, discrete and alternative algorithm for the choice of treatment tactics was created. The algorithm includes use of arthroscopic or open debridement, abrasive chondroplasty, bone marrow regeneration stimulation (microfracturing or tunneling), mosaic osteochondroplasty, arthroplasty or arthrodesis, the use of cellular regenerative technologies (bone marrow cells, platelet riched plasma), and others. Patients of older age with advanced OA need complex, step up approach, surgical treatment combined with regenerative cell technologies. The effectiveness of the differentiated approach to treatment was studied in 72 patients with OHLD (main group) in comparing to 72 patients in whom traditional treatment approaches were used, based on the stage of injury according to the Berndt & Hardy classification (comparison group).Results:compared to the traditional approach, the developed algorithm and treatment system allowed to half terms of hospitalization, to reduce the intensity of pain syndrome (by NRS) and increase the functional activity (by AOFAS) by 25%. In 3 years after trauma good/excellent results of treatment demonstrated 86% patients of main group and 32,2% of patients from comparing group (p<0,05).Conclusion:implementation of the developed treatment algorithm increases the number of good and excellent long-term results by 2.6 times and reduces the number of complications and unsatisfactory results by 4.9 times.Disclosure of Interests:None declared

Long-Term Results after Metatarsal Head Resection in the Treatment of Rheumatoid Arthritis

2006 ◽  
Vol 27 (8) ◽  
pp. 586-590 ◽  
Author(s):  
Patrik Reize ◽  
Carmen Ina Leichtle ◽  
Ulf Gunther Leichtle ◽  
Jörg Schanbacher
Keyword(s):  
Rheumatoid Arthritis ◽  
Metatarsal Head ◽  
Long Term Results

The double-stemmed silicone-rubber implant for rheumatoid arthritis of the first metatarsophalangeal joint. Long-term results.

1992 ◽  
Vol 74 (4) ◽  
pp. 564-570 ◽  
Author(s):  
B H Moeckel ◽  
T P Sculco ◽  
M M Alexiades ◽  
P H Dossick ◽  
A E Inglis ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Silicone Rubber ◽  
Metatarsophalangeal Joint ◽  
Long Term Results ◽  
First Metatarsophalangeal Joint

Isoelastic Cementless Total Hip Replacement in Rheumatoid Arthritis. Long-Term Results

1992 ◽  
Vol 2 (2) ◽  
pp. 43-46
Author(s):  
U. Fusco ◽  
R. Capelli ◽  
A. Avai ◽  
M. Gerundini ◽  
L. Colombini ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Hip Replacement ◽  
The Other ◽  
Long Term Results ◽  
X Rays ◽  
X Ray ◽  
The Mean ◽  
Cementless Total Hip Replacement

Between 1980 and 1987 we have implanted 46 isoelastic cementless THR in 40 patients affected with rheumatoid arthritis. We have reviewed 38 hips clinically and by X-ray. The mean follow-up was 8,5 years. Harris hip scores ranged from 30.6 preoperatively to 73,4 post-operatively when reviewed. While on the other hand Merle D'Aubigné hip scores ranged from 7,06 pre-operatively to 15,59 post-operatively. All patients have been satisfied, and X-rays showed an improvement for both Charnely and Gruen X-ray score.

Efficacy assessment of radiosynoviorthesis on the progression of radiological osteoarthritic features of hip and ankle joint in patients with osteoarthritis and rheumatoid arthritis

2020 ◽  
Vol 59 (03) ◽  
pp. 269-275
Author(s):  
Imre Szerb ◽  
Tamás Gál ◽  
Dániel Kiss ◽  
Viktória Nagy ◽  
László Hangody
Keyword(s):  
Rheumatoid Arthritis ◽  
Ankle Joint ◽  
Term Effect ◽  
Control Group ◽  
Hip Joints ◽  
Study Objective ◽  
Long Term Effect ◽  
Structural Progression ◽  
Ankle Joints

Abstract Objective The study objective was to evaluate the long-term effect of radiosynoviorthesis (RSO) on the progression of radiological and nuclear-medical osteoarthritic features of hip and ankle joint in patients with osteoarthritis and rheumatoid arthritis. Patients and Methods The study included 89 hip joints of 81 patients, of which 48 had osteoarthritis (OA) and 33 had rheumatoid arthritis (RA). In terms of ankle joints, 64 patients were included of which 43 suffered from OA and 21 from RA. The mean follow-up time was 9.2 years for OA and 8.9 years for RA patients. Patients with RA were the active control group. Structural alterations of the hip joints were evaluated following Kellgren-Lawrence score and of ankle joint following Takakura score for both disease entities. For the evaluation of synovitis 2-phase bone scintigraphy was performed. Results RSO could prevent radiologic status deterioration among 70.6 % of hip osteoarthritic patients and 73.7 % among the hip RA patients. No structural progression was observed in 79.1 % of the treated ankle joints in patients with OA and in 85.7 % of the ankle joints in patients with RA.The scintigraphic response rate for the hip joints of OA patients was 68.6 %, 76.3 % for hip joints of RA patients, 83.1 %, ankle joints of OA patients, and 90.4 % ankle joints of RA patients.The radiographic and scintigraphic RSO response rates were not significantly higher for both joints in RA than OA patients. Conclusion RSO can be a good alternative in the treatment of synovitis and prevention of deterioration of inflammatory and radiographic features even in patients suffering from osteoarthritis and rheumatoid arthritis. RSO may have also a long-term effect to stop or delay progression of both diseases.

scholarly journals Long-term Results of Ankle Arthrodesis Using an Intramedullary Nail with Fins in Patients with Rheumatoid Arthritis Hindfoot Deformity

2009 ◽  
Vol 76 (5) ◽  
pp. 240-246 ◽  
Author(s):  
Kenji Takenouchi ◽  
Minoru Morishita ◽  
Kimihisa Saitoh ◽  
Kouichi Wauke ◽  
Hiroshi Takahashi ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Intramedullary Nail ◽  
Ankle Arthrodesis ◽  
Long Term Results ◽  
Hindfoot Deformity

Flexible hinge toe implant arthroplasty for rheumatoid arthritis of the first metatarsophalangeal joint: long-term results

2001 ◽  
Vol 6 (2) ◽  
pp. 141-147 ◽  
Author(s):  
Tadamasa Hanyu ◽  
Hideshi Yamazaki ◽  
Hajime Ishikawa ◽  
Katsumitsu Arai ◽  
Chikako T. Tohyama ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Metatarsophalangeal Joint ◽  
Long Term Results ◽  
First Metatarsophalangeal Joint ◽  
Flexible Hinge

Long-term results of Yoshino total knee arthroplasties in rheumatoid arthritis

1997 ◽  
Vol 117 (1-2) ◽  
pp. 15-17
Author(s):  
H. Shiga ◽  
S. Yoshino ◽  
H. Nakamura ◽  
M. Nagashima
Keyword(s):  
Rheumatoid Arthritis ◽  
Long Term Results ◽  
Total Knee Arthroplasties ◽  
Total Knee

Synovectomy of the elbow in rheumatoid arthritis. Long-term results

1989 ◽  
Vol 71-B (4) ◽  
pp. 664-666 ◽  
Author(s):  
NJ Tulp ◽  
WP Winia
Keyword(s):  
Rheumatoid Arthritis ◽  
Long Term Results
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