Abstract
Synovial tuberculosis is a rare, but important differential diagnosis of synovial diseases. Three cases of arthroscopic synovectomy of tubercular monarthritis affecting the knee joint are reported. The Lysholm scoring scale modified by Klein and Kloos was excellent in two cases, but poor in one. In all three cases there was an excellent improvement in the range of motion compared to the preoperative period and no deterioration of the Larsen score in the follow-up period (25–56 months postoperatively). Considering these results arthroscopic synovectomy can be recommeded as an alternative to the open procedure of synovectomy.
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References
Crasselt C (1976) Die Bedeutung der Synovektomie für die Behandlung der Gelenkstuberkulose. Beitr Orthop Traumatol 23: 188–194
Heisel J (1985) Entzündliche Gelenkserkrankungen. Bücherei des Orthopäden 58. Enke. Stuttgart
Highenboten CL (1985) Arthroscopic synovectomy. Arthroscopy 1: 190–193
Hohmann G, Hackenbroch M, Lindemann K (1961) Die entzündlichen Erkrankungen des Kniegelenks. Thieme, Stuttgart, 4: 664–667
Ishikawa H, Ohno O, Hirohata K (1986) Long-term results of synovectomy in rheumatoid patients. J Bone Joint Surg [Am] 68: 195–205
Jensen K, Klein W (1988) Die arthroskopisch-chirurgische Synovektomie am Kniegelenk. Z Orthop 126: 513–518
Klein W, Jensen K-U (1989) Technik und Probleme der arthroskopischen Synovektomie. Arthroskopie 2: 80–93
Larsen A, Dale K, Eek M (1977) Radiographic evaluation of rheumatoid arthritis and related conditions by standard reference films. Acta Radiol (Diagn) 18: 481–491
Lysholm J, Gillquist J (1982) Evaluation of knee ligament surgery results with special ememphasis on use of a scoring scale. Am J Sports Med 10: 172–181
Misgar MS, Mir NA, Narbu T (1982) Partial synovectomy in the treatment of tuberculosis of the knee. Int Surg 67: 53–55
Schuchmann L, Pernice W, Hufschmiedt C, Adler C-P (1991) Arthritis tuberculosa-eine seltene, aber wichtige Differentialdiagnose zur juvenilen chronischen Arthritis. Monatsschr Kinderheilkd 139: 244–247
Shibata T, Shiraoka K, Takubo N (1986) Comparison between arthroscopic and open synovectomy for the knee in rheumatoid arthritis. Arch Orthop Trauma Surg 105: 257–262
Wilkinson MC (1969) Tuberculosis of the hip and knee treated by chemotherapy, synovectomy, and debridement. J Bone Joint Surg [Am] 51: 1343–1359
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Motycka, T., Landsiedl, F. Arthroscopic synovectomy of synovial tuberculosis of the knee joint. Knee Surg, Sports traumatol, Arthroscopy 3, 111–112 (1995). https://doi.org/10.1007/BF01552385
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DOI: https://doi.org/10.1007/BF01552385