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In numerous puplications the results of synovectomy have been
written about where either one or another viewpoint have been
examined. In this publication, the attempt is made to collect as
many parameters as possible so as to get a most objective picture
of the therapeutic worth by studying 100 knee and 370 finger
synovectomies. During the survey, among other points, the following
important aspects were taken under consideration: The operative
results were not evaluated by the operating surgeon, but by a
rheumatologist who was not on the clinic staff. As is well known,
it is difficult to evaluate the X-ray picture objectively, since
very often "subjective impressions" prevail. Gschwend succeeded in
setting up - mainly for the synovectomized finger joints - a
comprehensive point system, so as not to leave the evaluation to
chance. Besides the purely local joint condition, an internal
rheumatological status, at the time of the operation and the
follow-up examinations, with corresponding laboratory tests, was
carried out and included in the evaluation. Finally, it should be
pointed out that this is a long term study of 5 years, with various
controls made in between. The examination of so-called control
groups, for the present study, seems to us to be highly problematic
and of little value for a statement. Essentially, only the local
condition with respect to pain and swellings im proves, while the
general activity of the inflammatory process as also the mobility
and deformity of the synovectomized joints will only be somewhat
influenced.
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