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Khirurgii

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Year 2013 Vol. 21 No 3

REVIEWS

S.I. TRATSIAK, M.A. GERASIMENKO

MODERN ASPECTS OF SURGICAL TREATMENT OF KNEE JOINT SYNOVITIS OF RHEUMATOID GENESIS IN CHILDREN

EE “Belarusian State Medical University”, Minsk
The Republic of Belarus

Statistics of the current decade shows a significant negative contribution of rheumatic diseases to the structure of children’s morbidity and disability. Currently juvenile rheumatoid arthritis is considered as one of the actual problems of modern rheumaorthopedic due to significant growth of morbidity in recent years
Treatment of patients with juvenile rheumatoid arthritis is one of the complex and actual problems today. Dissatisfaction with the results of conservative treatment the severity of the musculoskeletal system lesion and the high disability of pediatric patients testify about the need of measures or interventions aimed at preventing the deformities and contractures, preservation and restoration of the knee joint mobility. Some aspects of conservative orthopedic and surgical treatment in children with a primary lesion of the knee in different clinical forms of juvenile rheumatoid arthritis, variations of treatment and activity of the process have insufficiently covered in the literature. The experience gained so far concerning the surgical treatment of synovitis in children suffering from rheumatoid arthritis is primarily attributable to the adult population. There is no consensus among the most authors concerning the indications for surgical treatment of synovitis in children with juvenile rheumatoid arthritis. According to many authors the timely removal of the inflamed synovial membrane allows not only stopping the phenomenon of synovitis, but also preventing or slowing down the degeneration of the articular cartilage, influencing on the overall activity of the disease and in some cases reaching the stage of clinical and immunological remission. Thus, the treatment of synovitis of the knee at juvenile rheumatoid arthritis in children is considered rather difficult and actual problem required further research.

Keywords: rheumatoid arthritis, synovitis, arthroscopy, knee joint
p. 110 – 115 of the original issue
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Address for correspondence:
220037, Respublika Belarus', g. Minsk, pr-t. Dzerzhinskogo, d. 83, UO "Belorusskii gosudarstvennyi meditsinskii universitet", kafedra travmatologii i ortopedii,
e-mail: s.i.tratsiak@tut.by,
Tret'iak Stanislav Iosifovich
Information about the authors:
Tratsiak S.I. An assistant of the traumatology and orthopedics chair of EE “Belarusian State Medical University”.
Gerasimenko M.A. MD, an associate professor, a head of the traumatology and orthopedics chair of EE “Belarusian State Medical University”.
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