Arthroscopic synovectomy of the knee joint for rheumatoid arthritis

Objective: To investigate the effect of knee arthroscopic synovectomy (AS) on the disease activity, quality-of-life (QoL), and the functional status of patients with rheumatoid arthritis (RA). Materials and methods: A retrospective analysis was conducted on the outcomes of AS performed on 138 RA patients; pre-surgery assessments were done using Disease Activity score (DAS 28) and Routine Assessment of Patient Index Data З (RAPID-3) on а multidimensional health-assessment questionnaire for disease activity, EuroQol-5D (EQ-5D) and the Short-Form Medical Outcomes Study (SF-36) for quality of life, and the Health Assessment Questionnaire (HAQ) for functional status. The pain response to SA was measured by а visual analogue score (VAS) and the Knee Society Score (KSS). Results: All parameters assessed in the study showed significant positive changes: the activity of the disease decreased, and patients’ functional status and QoL improved. Conclusion: AS is effective treatment for recurrent synovitis of the knee in RA patients. This technique improves the functional status of patients and their quality of life and reduces the activity of the disease. © 2018, SICOT aisbl.

Lipina M.1 , Makarov M.2 , Mukhanov V.3 , Karpashevich A.2 , Maglevaniy S. 4 , Amirdjапоvа V.2 , Archipov S.1
Springer Verlag
  • 1 Federal State Autonomous Educational Institution of Higher Education I.M, Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russian Federation
  • 2 V.A. Nasonova Science and Research Institute of Rheumatology, Moscow, Russian Federation
  • 3 Federal Science and Clinical Center of Federal Medical Biological Agency, Moscow, Russian Federation
  • 4 People’s Friendship University of Russia, Moscow, Russian Federation
Ключевые слова
Arthroscopy; Knee; Quality of life; Rheumatoid arthritis; Synovectomy; Synovitis; ᅟ
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