Synovectomy of the elbow in rheumatoid arthritis.

The results of 105 synovectomies + resection of the radial head in 84 patients with rheumatoid arthritis are shown. Pain was the main indication for surgery, and 1 1/4-6 2/4 years later about 80 per cent had pain relief at work, 90 per cent pain relief at rest. About 60 per cent of the elbows gained in rotation movement; about 40 per cent gained in hinge movement. Thirteen elbows had to be reoperated. In all cases there was only radial approach to the joint, which the authors find gives adequate exposure, few complications, and easy postoperative treatment.