| The effect of total synovectomy in total knee arthroplasty: a prospective randomized controlled study. | |
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MedLine Citation:
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PMID: 20890699 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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PURPOSE: The apparent synovial hypertrophy in some cases of noninflammatory knee osteoarthritis suggests that total synovectomy may provide beneficial inflammatory and pain relief after total knee arthroplasty. The aim of the study was to compare the effect of synovectomy on the postoperative pain, bleeding and functional outcome after surgical treatment of knee osteoarthritis. METHODS: A total of 50 patients with bilateral, non inflammatory, primary knee osteoarthritis were included in the study. Bilateral total knee replacement was performed at the same session. Total synovectomy and total knee arthroplasty (study group) were applied to a randomly selected side, and the total knee arthroplasty alone (as control group) was applied to the contralateral side of the same patient. The overall efficacy of both procedures was assessed postoperatively by determination of blood loss from the drain, pain and functional scores. The Visual Analogue Scale of pain and the Knee Society Knee Score were used to compare the two groups at 3rd, 6th and 12th months, postoperatively. RESULTS: During the postoperative 48 h, the mean blood loss in the study group (with synovectomy) was significantly higher than the control group (P = 0.005). However, in the postoperative follow-up time, there was no significant difference in pain relief and in the Knee Society Score between the two groups. CONCLUSION: Performing synovectomy in patients with primary knee osteoarthritis does not seem to have any clinical advantage besides it might increase blood loss and recurrent hemarthrosis postoperatively. Thus, during arthroplasty surgery, it should not be performed routinely. |
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Authors:
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Kasim Kilicarslan; Nadir Yalcin; Hakan Cicek; Yunus Dogramaci; Mahmut Ugurlu; Hamdi Ozkan; Hasan Yildirim |
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Publication Detail:
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Type: Journal Article Date: 2010-10-02 |
Journal Detail:
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Title: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Volume: 19 ISSN: 1433-7347 ISO Abbreviation: Knee Surg Sports Traumatol Arthrosc Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-05-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9314730 Medline TA: Knee Surg Sports Traumatol Arthrosc Country: Germany |
Other Details:
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Languages: eng Pagination: 932-5 Citation Subset: IM |
Affiliation:
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Department of Orthopaedics and Traumatology, Ataturk Training and Research Hospital, Ankara, Turkey, kilicarslan44@hotmail.com. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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