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Title of Journal: Knee Surg Sports Traumatol Arthrosc

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Abbravation: Knee Surgery, Sports Traumatology, Arthroscopy

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Springer-Verlag

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DOI

10.1016/1359-0189(93)90226-y

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ISSN

1433-7347

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The effect of total synovectomy in total knee arth

Authors: Kasim Kilicarslan Nadir Yalcin Hakan Cicek Yunus Dogramaci Mahmut Ugurlu Hamdi Ozkan Hasan Yildirim
Publish Date: 2010/10/02
Volume: 19, Issue: 6, Pages: 932-935
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Abstract

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 osteoarthritisA 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 postoperativelyDuring the postoperative 48 h the mean blood loss in the study group with synovectomy was significantly higher than the control group P = 0005 However in the postoperative followup time there was no significant difference in pain relief and in the Knee Society Score between the two groupsPerforming 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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  6. A systematic review of the incidence and clinical significance of postoperative meniscus transplant extrusion
  7. Iliopsoas haematoma in an adolescent Taekwondo player
  8. Assessment of posterior stability in total knee replacement by stress radiographs
  9. Injection treatment for chronic midportion Achilles tendinopathy: do we need that many alternatives?
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  11. A tissue engineered osteochondral plug: an in vitro morphological evaluation
  12. Computer-assisted surgery can reduce blood loss after total knee arthroplasty
  13. The effect of notchplasty in anterior cruciate ligament reconstruction: a biomechanical study in the porcine knee
  14. Femoral and tibial insert downsizing increases the laxity envelope in TKA
  15. Pressure ulcers of the thorax after shoulder surgery
  16. Staged protocol for initial management of the dislocated knee
  17. The future is in our hands
  18. Long-term outcomes of medial CMI implant versus partial medial meniscectomy in patients with concomitant ACL reconstruction
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  20. The correlation between femoral sulcus morphology and osteoarthritic changes in the patello-femoral joint
  21. The influence of sex hormones on anterior cruciate ligament ruptures in males
  22. Knee arthrodesis with an intramedullary nail: a retrospective study
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  30. Is there a relationship between tracking ability, joint position sense, and functional level in patellofemoral pain syndrome?
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  32. Physiological risk factors for falls in people with knee osteoarthritis before and early after knee replacement surgery
  33. Effect of an UHMWPE patellar component on stress fields in the patella: a finite element analysis
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