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This publication aims to provide an objective assessment of the therapeutic value of synovectomy by analyzing 100 knee and 370 finger procedures. It emphasizes the importance of using an independent rheumatologist, rather than the operating surgeon, to evaluate operative results, addressing the challenges of subjective interpretations in X-ray assessments. Gschwend developed a detailed point system specifically for synovectomized finger joints to enhance evaluation accuracy. The study also considers the internal rheumatological status of patients at the time of surgery and during follow-up, incorporating relevant laboratory tests into the analysis. Notably, this long-term study spans five years, with multiple interim evaluations. The authors express skepticism about the utility of control groups in this context, suggesting they offer limited value for conclusions. Ultimately, the findings indicate that while local conditions such as pain and swelling improve, the overall inflammatory activity, joint mobility, and deformity of the synovectomized joints show only slight improvement.
Buchkauf
Clinical results of synovectomy in rheumatoid arthritis, Norbert Gschwend
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- Erscheinungsdatum
- 1977
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