| Popis: |
Overall 119 treatment and prophylactic operations were performed on those patients in early phases of rheumatoid arthritis who derived no benefit from a combined conservative treatment. With preliminary medial instability of the joint in 19 patients the surgical intervention involved some elements making for reinforcement of the capsular ligamentous apparatus. Good results of the above operations occurred in 78% of cases. Relapses of synovitis were encountered in eight percent of cases, which fact is related to the generalized advancing disease. Satisfactory results were obtained in those patients (14%) who were free from the origination of synovitis, which fact can be explained by lack of an efficient system of complex medical rehabilitation in the outpatient stage. A scheme is suggested of medical rehabilitation after treatment and prophylactic interventions for patients with early stages of rheumatoid lesions of the knee joint, that permits improving results of treatment in the above category of patients. |
