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  • Title: Synovectomy of the rheumatoid knee does not prevent deterioration. 7-year follow-up of 83 cases.
    Author: Doets HC, Bierman BT, von Soesbergen RM.
    Journal: Acta Orthop Scand; 1989 Oct; 60(5):523-5. PubMed ID: 2603650.
    Abstract:
    Eighty-three knees in 65 patients were studied retrospectively 7 (3-11) years after synovectomy for rheumatoid arthritis. Half of all the knees had an osteotomy or prosthesis operation after a median interval of 4 years. Early synovectomy had been performed in 67 knees; half of these had a satisfactory result. Most of the late synovectomies were unsatisfactory. Our results support the opinion that deterioration of the rheumatoid knee cannot be prevented by early synovectomy. Late synovectomy is discouraged.
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