Novosti
Khirurgii
This journal is
indexed in Scopus



Year 2013 Vol. 21 No 3

REVIEWS

DOI: http://dx.doi.org/10.18484/2305-0047.2013.3.110   |  

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 childrens 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
References
  1. Beliaeva LM. Bolezni sustavov u detei i podrostkov [Joint disease in children and adolescents]: ucheb-metod posobie. 2-e izd pererab. Minsk, RB: BelMAPO; 2006. 70 p.
  2. Kostromina GN. Khronicheskie artrity u detei i podrostkov [Chronic arthritis in children and adolescents]. Kharkv, Ukraina: Osnova; 2006. 172 p.
  3. Cassidy J, Petty R, Lindsley C, Laxer R, eds. Texbook of paediatric rheumatology. 5th ed. Philadelphia: Elsevier Saunders; 2005. . 14273.
  4. Harris ED Jr, Firestein GS. Clinical features of rheumatoid arthritis. In: Firestein GS, Budd RC, Harris ED Jr, et al., eds. Kelley's Textbook of Rheumatology. 8th ed. Philadelphia, Pa: Saunders Elsevier; 2008:ch. 66.
  5. Beliaeva L.M, Khrustaleva EK, Kolupaeva EA, Chizhevskaia ID. Lechenie i reabilitatsiia detei i podrostkov s sistemnymi zabolevaniiami soedinitel'noi tkani v usloviiakh statsionara [Treatment and rehabilitation of children and adolescents with systemic connective tissue diseases in hospital]. Med Panorama. 2008;(3): 36.
  6. Kuz'mina NN, Levina SG, Lyskina GA, Podcherniaeva, NS, Riabova T.V., Shakhbazian IV. Detskaia revmatologiia [Children rheumatology]: ruk dlia vrachei Baranov AA, Bazhenova LK, red. Moscow, RF: Meditsina; 2002. 336 p.
  7. Mazurov VI. Klinicheskaia revmatologiia [Clinical rheumatology]: ruk dlia vrachei. 2-e izd pererab i dop. Saint-Petersburg, RF: FOLIANT; 2005. 520 p.
  8. Skliarenko ET, Martynenko GF. Ortopedicheskoe lechenie infektsionnogo nespetsificheskogo poliartrita u detei [Orthopaedic treatment of infectious nonspecific polyarthritis in children]. Kiev, Ukraina: Zdorov'ia; 1975. 152 p.
  9. Studenikin MIa, Iakovleva AA, Mitchenko AF. Detskaia artrologiia [Children arthrology]: ruk dlia vrachei. Leningrad, RF: Meditsina; 1981. 432 p.
  10. Ravelli A, Martini A. Juvenile idiopathic arthritis. Lancet. 2007;369:76778.
  11. Gerasimenko MA, Beletskii A.V. Diagnostika i lechenie povrezhdenii i ortopedicheskikh zabolevanii kolennogo sustava [Diagnosis and treatment of orthopedic diseases and injuries of the knee joint]. Minsk, RB: Tekhnalogia; 2010. 167 p.
  12. Choy EHS, Panayi GS. Cytokine pathways and joint inflammation in Rheumatoid arthritis. N Engl J Med 2001, 344;(12):90716.
  13. Boros C, Whitehead B. Juvenile idiopathic arthritis. Aust Fam Physician. 2010; 39:63036.
  14. Cush JJ. Rheumatoid arthritis. ClinSymp. 1999; 51:40.
  15. Nistala K, Moncrieffe H, Newton KR, Varsani H, Hunter P, Wedderburn LR. Interleukin-17-producing T cells are enriched in the joints of children with arthritis, but have a reciprocal relationship to regulatory T cell numbers. Arthritis Rheum. 2008 Mar;58(3):87587.
  16. Hahn YS, Kim JG. Pathogenesis and clinical manifestations of juvenile rheumatoid arthritis. Korean J Pediatr. 2010 Nov;53(11):92130.
  17. Balabanova RM. Revmatoidnyi artrit. V: Nasonova VA, Bunchuk NV, red. Revmaticheskie bolezni [Rheumatoid arthritis]. Moscow, RF: Meditsina; 1997. p. 25794.
  18. Pavlov VP, Nasonova VA. Revmoortopediia [Rheumoorthopedics]. Moscow, RF: MEDpress-inform; 2011. 464 p.
  19. Canale ST, Beaty JH. Campbell's Operative Orthopaedics. 12-th ed. 2012. 4664 .
  20. Doets HC, Bierman BT, von Soesbergen RM. Synovectomy of the rheumatoid knee does not prevent deterioration. 7-year follow-up of 83 cases. Acta Orthop Scand. 1989 Oct;60(5):52325.
  21. Gariepy R, Demers R, Laurin CA. The prophylactic effect of synovectomy of the knee in rheumatoid arthritis. Can Med Assoc J. 1966 Jun 25;94(26):134952.
  22. Zacher J, Pauly T, Schmidt KL, Wetzel R. Orthopedic therapy in rheumatic diseases. Fortschr Med. 1997 Sep 20;115(26):346, 38.
  23. Skliarenko ET, Pashkov EP, Brusko AT. Metod kriokhirurgii v lechenii bol'nykh revmatoidnym artritom [Method cryosurgery in the treatment of rheumatoid arthritis]. Klin Khirurgiia. 1981;(12):1416.
  24. Pan X, Zhang X, Liu Z, Wen H, Mao X. Treatment for chronic synovitis of knee: arthroscopic or open synovectomy. Rheumatol Int. 2012 Jun;32(6):173336.
  25. Tanaka E, Mannalithara A, Inoue E, Hara M, Tomatsu T, Kamatani N, Singh G, Yamanaka H. Efficient management of rheumatoid arthritis significantly reduces long-term functional disability. Ann Rheum Dis. 2008 Aug;67(8):115358.
  26. Hua Ying-hui, Chen Shi-yi, Zhai Wei-tao, et al. Effect of arthroscopic synovectomy of knee joint on rheumatoid arthritis [J]. Chongqing Medicine. 200620.
  27. Granberry WM, Brewer EJ Jr. Results of synovectomy in children with rheumatoid arthritis. Clin Orthop Relat Res. 1974 Jun;(101):1206.
  28. Jacobsen ST, Levinson JE, Crawford AH. Late results of synovectomy in juvenile rheumatoid arthritis. J Bone Joint Surg Am. 1985 Jan;67(1):815.
  29. Ovregard T, Hoyeraal HM, Pahle JA, Larsen S. A three-year retrospective study of synovectomies in children. Clin Orthop Relat Res. 1990 Oct;(259):7682.
  30. Accadbled F. Arthroscopic surgery in children. Orthop Traumatol Surg Res. 2010 Jun;96(4):44755.
  31. Kavalerskii GM, Garkavi AV, Men'shikova IV, Sergienko SA. Artroskopicheskaia sinovektomiia pri revmatoidnom sinovite kolennogo sustava [Arthroscopic synovectomy in rheumatoid synovitis of the knee joint]. Nauch-Prakt Revmatologiia. 2009;(4):8489.
  32. Chalmers PN, Sherman SL, Raphael BS, Su EP. Rheumatoid synovectomy: does the surgical approach matter? Clin Orthop Relat Res. 2011 Jul;469(7):206271.
  33. Verstappen SM, Hoes JN, Ter Borg EJ, Bijlsma JW, Blaauw AA, van Albada-Kuipers GA, van Booma-Frankfort C, Jacobs JW. Joint surgery in the Utrecht Rheumatoid Arthritis Cohort: the effect of treatment strategy. Ann Rheum Dis. 2006 Nov;65(11):150611.
  34. Lialina VV, Shekhter AB. Artroskopiia i morfologiia sinovitov [Arthroscopy and morphology of synovitis]. Moscow, RF: Nauka; 2007. 108 p.
  35. Ogawa H, Itokazu M, Ito Y, Fukuta M, Shimizu K. The therapeutic outcome of minimally invasive synovectomy assisted with arthroscopy in the rheumatoid knee. Mod Rheumatol. 2006;16(6):36063.
  36. Kubacki J, Kokosz M, Grygorowicz M, Adamczyk-Bujniewicz H. The value of synovectomy of the knee in the treatment of rheumatoid arthritis. Ortop Traumatol Rehabil. 2006 Feb 28;8(1):99105.
  37. Maslon A, Witonski D, Pieszynski I, Grzegorzewski A, Synder M. Early clinical results of open and arthroscopic synovectomy in knee inflammation. Ortop Traumatol Rehabil. 2007 Sep-Oct;9(5):52026.
  38. Rao SK, Rao S, Naik AM. A descriptive clinical evaluation of arthroscopic synovectomy in rheumatoid knees: a prospective study. Ceylon Med J. 2006 Mar;51(1):79.
  39. Dell'Era L, Facchini R, Corona F. Knee synovectomy in children with juvenile idiopathic arthritis. J Pediatr Orthop B. 2008 May;17(3):12830.
  40. Vilkki P, Virtanen R, Makela AL. Arthroscopic synovectomy in the treatment of patients with juvenile rheumatoid arthritis. Acta Univ Carol Med (Praha). 1991;37(1-2):846.
  41. Ogilvie-Harris DJ, Basinski A. Arthroscopic synovectomy of the knee for rheumatoid arthritis. Arthroscopy. 1991;7(1):917.
  42. Smiley P, Wasilewski SA. Arthroscopic synovectomy. Arthroscopy. 1990;6(1):1823.
  43. Matsui N, Taneda Y, Ohta H, Itoh T, Tsuboguchi S. Arthroscopic versus open synovectomy in the rheumatoid knee. Int Orthop. 1989;13(1):1720.
  44. Rusakova MS, Gritsman NN, Pavlov VP. Ob izmenenii sustavnogo khriashcha pri revmatoidnom artrite i rezorbiruiushchei roli pannusa [The change of articular cartilage in rheumatoid arthritis and resorbed role of pannus]. Arkhiv Patologii. 1970;(7):4752.
  45. Gobel D, Gratz S, von Rothkirch T, Becker W, Willert HG. Radiosynoviorthesis with rhenium-186 in rheumatoid arthritis: a prospective study of three treatment regimens. Rheumatol Int. 1997;17(3):1058.
  46. Heuft-Dorenbosch LL, de Vet HC, van der Linden S. Yttrium radiosynoviorthesis in the treatment of knee arthritis in rheumatoid arthritis: a systematic review. Ann Rheum Dis. 2000 Aug;59(8):58386.
  47. Kerschbaumer F, Kandziora F, Herresthal J, Hertel A, Hor G. Combined arthroscopic and radiation synovectomy in rheumatoid arthritis. Orthopade. 1998 Mar;27(3):18896.
  48. Bernard C, Krause E, Jacques S. Treatment of chronic knee synovitis with arthroscopic synovectomy after failure of intraarticular injection of radionuclide. 1989 Jan;32(Issue 1). Arthritis & Rheumatism. . 1014.
  49. Sokov LP., Zogorodnii NV, Tereshenkov VP, Shevelev OA, Sokov EL, Sokov SL. Kriosinoviortez kolennogo i tazobedrennogo sustavov [Cryosynoviorthesis of knee and hip joints]. Kriokhirurgiia v Ortopedii. Moscow, RF; 2001. p. 138.
  50. Iumashev GS. Travmatologiia i ortopediia [Traumatology and orthopedics]. 2-e izd, pererab i dop. Moscow, RF: Medgiz; 1983. 576 p.
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.
Contacts | ©Vitebsk State Medical University, 2007