Stapling of the Knee in Juvenile Chronic Arthritis

Rydholm, Urban; Brattström, H; Bylander, Birger; Lidgren, Lars

doi:10.1097/01241398-198701000-00013

Cited by 18 publications

(9 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Reoperations in twO' (10%) of the joints in the arthritis group because of re-synovitis is favorable with the results after synovectomies of other arthritically involved joints (3,5,8,26). A reason for the re-synovitis in our study could be that our cases must be considered advanced because of arthritic involvement of both soft and hard tissues in the joint (1,3,8).…”

Section: Discussionmentioning

confidence: 95%

“…However, the regenerated synovial tissue seems to be less permeable to serum proteins and to contain lower lyso-somal enzyme activity than the excised synovial tissue (6). Therefore, despite recurrence of synovitis after synovectomy, joints may remain painfree (2,3,7,8). Synovectomy in early stages of chronic arthritic disease prevents cartilage and bone damage (8), and early synovectomies may therefore give a better prognosis for the operated joints (3).…”

mentioning

confidence: 99%

See 1 more Smart Citation

Synovectomy and diskectomy of the temporomandibular joint in patients with chronic arthritic disease compared with diskectomies in patients with internal derangement. A 3‐year follow‐up study

Bjørnland

Larheim

1995

European J Oral Sciences

View full text Add to dashboard Cite

Twenty-five temporomandibular joints (TMJs) in 15 patients with chronic arthritic disease were treated with synovectomy and diskectomy. Twenty patients with internal derangement of 27 TMJs treated with diskectomy served as a control group. A response in pain relief was seen in 73% of the patients with chronic arthritic disease and in 80% of the patients with internal derangement 3 yr postoperatively. In both groups of patients a significant increase in mouth opening capacity and lateral movement of the mandible was seen postoperatively, with no significant difference in the improvement between the two groups. Four patients with chronic arthritic disease were reoperated within the 3-yr observation period. This study indicates that synovectomy and diskectomy of the TMJ may reduce pain and improve mandibular function in patients with severe chronic arthritic TMJ disease.

show abstract

Section: Discussionmentioning

confidence: 95%

mentioning

confidence: 99%

Synovectomy and diskectomy of the temporomandibular joint in patients with chronic arthritic disease compared with diskectomies in patients with internal derangement. A 3‐year follow‐up study

Bjørnland

Larheim

1995

European J Oral Sciences

View full text Add to dashboard Cite

show abstract

“…Epiphysiodesis (using temporary epiphyseal stapling) has been used to correct knee/ ankle valgus deformities and leg length discrepancies [52][53][54][55], but it is only possible in children with an open physis. Skeletal age, predicted growth, and correction potential should be determined, but these estimates remain imprecise in children with JIA.…”

Section: Surgery For Growth Disordersmentioning

confidence: 99%

Surgical Treatment of Juvenile Idiopathic Arthritis in the Era of Novel Drug Therapies

Klein

Barbier

Glorion

et al. 2023

JCM

View full text Add to dashboard Cite

Juvenile idiopathic arthritis is the most common chronic rheumatic disease encountered in children under the age of sixteen and causes significant impairments in daily life. Over the last two decades, the introduction of new drug treatments (including disease-modifying antirheumatic drugs and biologics) has changed the course of this disease, thus reducing the indication for surgery. However, some patients fail to respond to drug therapy and thus require personalized surgical management, e.g., the local reduction of joint effusion or a synovial pannus (via intra-articular corticosteroid injections, synovectomy, or soft tissue release), and management of the sequelae of arthritis (such as growth disorders and joint degeneration). Here, we provide an overview of the surgical indications and outcomes of the following interventions: intra-articular corticosteroid injections, synovectomy, soft tissue release, surgery for growth disorders, and arthroplasty.

show abstract

“…The first temporary arrest of epiphyseal growth at our institution was performed in 1956, and until the end of 1999, 119 patients had undergone the procedure [22]. Temporary epiphyseal stapling is a safe and effective method in managing knee valgus deformity in patients with JCA [2,21].…”

Section: Discussionmentioning

confidence: 99%

“…About 60% of patients remit, and only 6-10% are severely disabled [8]. Chronic synovitis of the knee joint typically causes growth disturbances resulting in valgus deformity of the knee or in leg-length discrepancy [13,21]. The outcome of synovectomy seems to be good with respect to pain relief, improvement of knee function, reduction of synovial swelling, and effusion [3,6,7,10,12,16,17,18,19,23].…”

Section: Introductionmentioning

confidence: 99%

Previous synovectomy or epiphyseal stapling and the influence on knee replacement in juvenile chronic arthritis

Lybäck¹,

Belt²,

Savolainen³

et al. 2004

International Orthopaedics

View full text Add to dashboard Cite

Seventy-seven anatomically graduated components (AGC) total knee arthroplasties (TKA) were performed on 52 patients with juvenile chronic arthritis. According to the nature of previous surgery on the knee, the patients were subdivided into three groups. The mean age at onset of disease in 23 patients with previous synovectomy of the knee was 11 (1.5-16) years, the mean age at the time of synovectomy was 20 (4-42) and the mean age when arthroplasty was performed was 31 (18-45) years. In nine patients with previous epiphyseal

show abstract

Stapling of the Knee in Juvenile Chronic Arthritis

Cited by 18 publications

References 0 publications

Synovectomy and diskectomy of the temporomandibular joint in patients with chronic arthritic disease compared with diskectomies in patients with internal derangement. A 3‐year follow‐up study

Synovectomy and diskectomy of the temporomandibular joint in patients with chronic arthritic disease compared with diskectomies in patients with internal derangement. A 3‐year follow‐up study

Surgical Treatment of Juvenile Idiopathic Arthritis in the Era of Novel Drug Therapies

Previous synovectomy or epiphyseal stapling and the influence on knee replacement in juvenile chronic arthritis

Contact Info

Product

Resources

About