Aim of the study Scar tissue formation after synovectomy limits range of motion and causes muscle atrophy. The functional results for patients who underwent total open knee synovectomy often included… Click to show full abstract
Aim of the study Scar tissue formation after synovectomy limits range of motion and causes muscle atrophy. The functional results for patients who underwent total open knee synovectomy often included questionnaires, and assessment of muscle strength was lacking in the literature. Therefore, we aimed to identify the strength and range of motion outcomes for patients who underwent total open synovectomy and to compare the results with the contralateral limb and healthy individuals. Method Knee range of motion and muscle strength were assessed in fourteen patients that underwent total (anterior and posterior) open knee synovectomy and were compared with the contralateral limb and with 14 healthy individuals matched by sex, age, height, and weight. Results The range of motion of flexion decreased 8.4% compared with the contralateral limb (95% CI − 18.9 to − 4.7, p = 0.002) and 9.9% compared with the control group (95% CI 3.9–14.9, p < 0.01). Knee extension strength decreased by 35% compared with the contralateral limb (95% CI 11.1–77.2, p = 0.01) and 37% compared with the control group (95% CI − 112.4–12.1, p = 0.01). Conclusion Despite the aggressiveness of the surgical procedure, the patients achieved satisfactory functional results.
               
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