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Arthroscopic Synovectomy of the Ankle in Rheumatoid Arthritis

DC FieldValueLanguage
dc.contributor.author이진우-
dc.contributor.author최우진-
dc.date.accessioned2014-12-18T08:23:02Z-
dc.date.available2014-12-18T08:23:02Z-
dc.date.issued2013-
dc.identifier.issn0749-8063-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/86204-
dc.description.abstractPURPOSE: To evaluate the outcome of arthroscopic synovectomy of the ankle joint in patients with early-stage rheumatoid arthritis (RA). METHODS: Between 2005 and 2009, 18 consecutive patients with RA involving the ankle underwent arthroscopic synovectomy. Pain was measured using a visual analog scale (VAS), and clinical outcome was determined by calculating the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale score with a mean follow-up of 5 years (60 months). Assessments were performed preoperatively, at 6 and 12 months postoperatively, and then yearly thereafter. Clinical success was defined as the absence of synovitis symptoms or when patients demonstrated good or excellent outcomes (AOFAS Ankle-Hindfoot Scale score ≥80) with >50% improvement in VAS score for pain. Demographic, laboratory, and radiological variables were evaluated to determine possible factors predicting clinical outcome. RESULTS: VAS and AOFAS scores were significantly improved at the final follow-up (60 months; P < .0001). The greatest improvements in clinical scores were observed after 12 months; thereafter, they steadily declined. Of the 18 patients examined, 14 (77.8%) were considered to have had clinical success with no reintervention. Variables predictive of clinical success were short duration of symptoms (P = .042) and minimal radiographic changes based on the Larsen grading system (P = .030). CONCLUSIONS: Arthroscopic synovectomy is a safe and successful procedure in ankle joints affected by RA. The best clinical outcomes are achieved when the procedure is performed early in the disease course and when there is no evidence of cartilage degeneration. LEVEL OF EVIDENCE: Level IV, prognostic case series.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHAnkle Joint/diagnostic imaging-
dc.subject.MESHAnkle Joint/surgery*-
dc.subject.MESHAntirheumatic Agents/therapeutic use-
dc.subject.MESHArthritis, Rheumatoid/diagnostic imaging-
dc.subject.MESHArthritis, Rheumatoid/drug therapy-
dc.subject.MESHArthritis, Rheumatoid/surgery*-
dc.subject.MESHArthroscopy/methods*-
dc.subject.MESHArthroscopy/statistics & numerical data-
dc.subject.MESHBlood Sedimentation-
dc.subject.MESHC-Reactive Protein/analysis-
dc.subject.MESHCombined Modality Therapy-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPain Measurement-
dc.subject.MESHPrognosis-
dc.subject.MESHRadiography-
dc.subject.MESHRange of Motion, Articular-
dc.subject.MESHRecovery of Function-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHSeverity of Illness Index-
dc.subject.MESHSynovectomy*-
dc.subject.MESHTreatment Outcome-
dc.titleArthroscopic Synovectomy of the Ankle in Rheumatoid Arthritis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Orthopedic Surgery (정형외과학)-
dc.contributor.googleauthorWoo Jin Choi-
dc.contributor.googleauthorGi Won Choi-
dc.contributor.googleauthorJin Woo Lee-
dc.identifier.doi10.1016/j.arthro.2012.06.018-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA04121-
dc.contributor.localIdA03230-
dc.relation.journalcodeJ00242-
dc.identifier.eissn1526-3231-
dc.identifier.pmid23142296-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0749806312015873-
dc.subject.keywordAdult-
dc.subject.keywordAged-
dc.subject.keywordAged, 80 and over-
dc.subject.keywordAnkle Joint/diagnostic imaging-
dc.subject.keywordAnkle Joint/surgery*-
dc.subject.keywordAntirheumatic Agents/therapeutic use-
dc.subject.keywordArthritis, Rheumatoid/diagnostic imaging-
dc.subject.keywordArthritis, Rheumatoid/drug therapy-
dc.subject.keywordArthritis, Rheumatoid/surgery*-
dc.subject.keywordArthroscopy/methods*-
dc.subject.keywordArthroscopy/statistics & numerical data-
dc.subject.keywordBlood Sedimentation-
dc.subject.keywordC-Reactive Protein/analysis-
dc.subject.keywordCombined Modality Therapy-
dc.subject.keywordFemale-
dc.subject.keywordHumans-
dc.subject.keywordMale-
dc.subject.keywordMiddle Aged-
dc.subject.keywordPain Measurement-
dc.subject.keywordPrognosis-
dc.subject.keywordRadiography-
dc.subject.keywordRange of Motion, Articular-
dc.subject.keywordRecovery of Function-
dc.subject.keywordRetrospective Studies-
dc.subject.keywordSeverity of Illness Index-
dc.subject.keywordSynovectomy*-
dc.subject.keywordTreatment Outcome-
dc.contributor.alternativeNameLee, Jin Woo-
dc.contributor.alternativeNameChoi, Woo Jin-
dc.contributor.affiliatedAuthorChoi, Woo Jin-
dc.contributor.affiliatedAuthorLee, Jin Woo-
dc.rights.accessRightsnot free-
dc.citation.volume29-
dc.citation.number1-
dc.citation.startPage133-
dc.citation.endPage140-
dc.identifier.bibliographicCitationARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, Vol.29(1) : 133-140, 2013-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers

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