Lovász G, Bellyei A
Pécsi Orvostudományi Egyetem Orthopaediai Klinika.
Magy Traumatol Orthop Helyreallito Seb. 1992;35(1):1-6.
Authors report on the results of 15 synovectomies of the knee for iligoarticular juvenile rheumatoid arthritis. The operation was performed in every case in the early stage before the development of the radiological destruction. Excellent and good results were obtained in 11 cases; in 4 cases the operation was unsuccessful. It is stated that there is good chance to prevent destruction of the knee with juvenile rheumatic arthritis with an early synocvectomy. The operation is suggested after 6 years of age. The key of the good result is the early intensive mobilization of the joint.
作者报告了15例针对幼年类风湿性关节炎膝关节的滑膜切除术结果。每例手术均在放射学破坏出现之前的早期阶段进行。11例获得了优良效果;4例手术失败。据称,早期滑膜切除术有很大机会预防幼年类风湿性关节炎膝关节的破坏。建议在6岁之后进行该手术。良好效果的关键在于术后早期对关节进行强化活动。