Arthroscopic Synovectomy for Hemophilic Joint Disease in a Pediatric Population

Dunn, Amy L.; Busch, Michael T.; Wyly, J. B.; Sullivan, Kevin M.; Abshire, Thomas C.

doi:10.1097/01241398-200407000-00013

Cited by 78 publications

(43 citation statements)

References 34 publications

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“…33,34 Elbow arthroscopy allows the experienced surgeon to better visualize all areas of the elbow and address intra-articular pathology. 30,31,35 Nerve injuries, recurrent synovitis, and persistent pain have been reported after arthroscopic synovectomy. The results deteriorate with time 26,27,29 and are better in patients who have preserved articular cartilage and no significant osseous destruction.…”

Section: Resultsmentioning

confidence: 99%

“…[26][27][28][29] Synovectomy is considered in the setting of persistent, painful synovitis despite good medical management. 30,31 Arthroscopic synovectomy may also be used for psoriatic arthritis and acute septic arthritis. 27 Younger patients with more advanced disease (ie, Mayo grade III) who are not candidates for elbow arthroplasty should also be considered.…”

Section: Indications and Contraindicationsmentioning

confidence: 99%

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Elbow Arthroscopy

Adams

King

Steinmann

et al. 2014

Journal of the American Academy of Orthopaedic Surgeons

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Elbow arthroscopy is a tool useful for the treatment of a variety of pathologies about the elbow. The major indications for elbow arthroscopy include débridement for septic elbow arthritis, synovectomy for inflammatory arthritis, débridement for osteoarthritis, loose body extraction, contracture release, treatment of osteochondral defects and selected fractures or instability, and tennis elbow release. Contraindications, technical considerations, and favorable outcomes following treatment with elbow arthroscopy require careful patient evaluation, a thorough understanding of anatomic principles, and proper patient positioning and portal selection to guide preoperative planning and overall patient care. Elbow arthroscopy is an effective procedure for the treatment of inflammatory arthritis, osteoarthritis, and lateral epicondylitis.

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Section: Resultsmentioning

confidence: 99%

Section: Indications and Contraindicationsmentioning

confidence: 99%

Elbow Arthroscopy

Adams

King

Steinmann

et al. 2014

Journal of the American Academy of Orthopaedic Surgeons

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show abstract

“…Despite the use of various conservative treatments, arthroscopic synovectomy and open synovectomy are definitive strategies to reduce recurrent bleeding and maintain joint function . Synovectomy itself does not inhibit arthropathic progression, but some authors report good results such as bleeding control and pain relief after synovectomy . The joint complex eventually ankyloses as a result of the gradual progression of haemarthropathic erosion, making ambulation difficult .…”

Section: Introductionmentioning

confidence: 99%

Anterior osteophyte resection of the ankle joint to increase range of motion in haemophilic ankle arthropathy

2019

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Introduction Haemophilic ankle arthropathy may cause joint bleeding, pain, stiffness, erosion and progressive motion limitations, including a decreased range of motion (ROM) secondary to anterior osteophyte impingement. Aim The purpose of this study was to investigate changes in the ROM and symptoms after synovectomy and anterior osteophyte resection for haemophilic ankle arthropathy. Methods We retrospectively reviewed 41 ankles in 35 patients with haemophilic arthropathy who underwent arthroscopic and/or open synovectomy. The mean follow‐up period was 59.5 months. Indications for the procedure included a lack of improvement with conservative management, and the presence of haemarthrosis and arthralgia. We assessed radiographic images, ankle joint range of motion, the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle‐Hindfoot score and patients’ subjective satisfaction preoperatively and at the last follow‐up. Results Arthroscopic synovectomy was performed in 32 ankles, open synovectomy in 6, and arthroscopic synovectomy with additional mini‐open debridement in 3. Ankle dorsiflexion improved from a mean of 2.7° preoperatively to a mean of 7.5° at the final follow‐up (P = 0.003), whereas plantar flexion improved from a mean of 30.7° preoperatively to a mean of 32.7° at the final follow‐up (P = 0.276). The AOFAS score improved from 62.2 preoperatively to 79.1 at the final follow‐up (P < 0.001). Patient satisfaction was “excellent” in 11 ankles, “good” in 22, “fair” in 3 and “poor” in 5. Conclusion Arthroscopic and/or open synovectomy with anterior osteophyte resection and early rehabilitation in adolescents and adults with haemophilic ankle arthropathy showed improved ankle dorsiflexion and AOFAS scores.

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“…They are very heterogeneous, some of them belonging to a well-defined syndrome affecting various organs. The clinical presentation of the rarest [5] but molecular diagnosis supports the symptoms, and allows early diagnosis of HHT. Screening for internal arteriovenous malformations in lung and brain is essential to avoid serious complications: stroke, ischemia, massive haemorrhage, even death.…”

Section: Management Of Inherited Thrombocytopeniasmentioning

confidence: 99%

“…The technique is not widely used due to the inconvenience to the patient; however, it may have some utility in developing countries where the radioactive substances required for RS are not available [3]. AS: There are mixed views as to whether AS should be considered as first-or second-line therapy in patients with chronic synovitis [4,5]. At our centre AS is used only as a second-line therapy after the failure of three RS with 3 to 6 month intervals [1].…”

Section: Management Of Inherited Thrombocytopeniasmentioning

confidence: 99%

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Haemophilia

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Arthroscopic Synovectomy for Hemophilic Joint Disease in a Pediatric Population

Cited by 78 publications

References 34 publications

Elbow Arthroscopy

Elbow Arthroscopy

Anterior osteophyte resection of the ankle joint to increase range of motion in haemophilic ankle arthropathy

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