{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T01:27:58Z","timestamp":1777685278689,"version":"3.51.4"},"reference-count":0,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"6","license":[{"start":{"date-parts":[[1997,11,1]],"date-time":"1997-11-01T00:00:00Z","timestamp":878342400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[1997,11]]},"abstract":"<jats:p> We carried out a survival analysis of elbow synovectomy (ES) and excision of the radial head (RHE) performed on 171 rheumatoid elbows. The failure criteria were revision surgery (performed or desired) and\/or the presence of significant or severe pain. <\/jats:p><jats:p> The cumulative survival was 81% at one year which thereafter decreased by an average of 2.6% per year. The strongest predictor for success was a low preoperative range of supination-pronation when corresponding survival curves were compared. A low range of flexion-extension also predicted failure. Combining both factors gave better prediction (failure: 6.3% v 67%), but a long duration of elbow symptoms before surgery predicted failure (72%, p = 0.04). <\/jats:p><jats:p> At review, there was a mean gain of 50\u00b0 in supination-pronation and 11\u00b0 in flexion-extension; both correlated with success. Failure correlated with recurrence of synovitis, elbow instability, ulnar neuropathy, poor general mobility and poor upper-limb function. The last was independently affected by the severity of RA in the ipsilateral shoulder. <\/jats:p><jats:p> Our findings show that although the short-term result of ES and RHE in rheumatoid arthritis is good, the long-term outcome is poor except in a subgroup with more than 50% limitation of forearm rotation. <\/jats:p>","DOI":"10.1302\/0301-620x.79b6.0790918","type":"journal-article","created":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T11:52:54Z","timestamp":1519213974000},"page":"918-923","source":"Crossref","is-referenced-by-count":47,"title":["SYNOVECTOMY OF THE ELBOW AND RADIAL HEAD EXCISION IN RHEUMATOID ARTHRITIS"],"prefix":"10.1302","volume":"79-B","author":[{"given":"N. S. T.","family":"Gendi","sequence":"first","affiliation":[{"name":"Basildon Hospital, Nether Mayne, Basildon, Essex SS16 5NL, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. M. C.","family":"Axon","sequence":"additional","affiliation":[{"name":"Queen Elizabeth II Hospital, Welwyn Garden City, Hertfordshire AL7 4HQ, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. J.","family":"Carr","sequence":"additional","affiliation":[{"name":"The Nuffield Orthopaedic Centre, Windmill Road, Headington, Oxford OX3 7LD, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. D.","family":"Pile","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, The Queen Elizabeth Hospital, Adelaide 5011, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. D.","family":"Burge","sequence":"additional","affiliation":[{"name":"The Nuffield Orthopaedic Centre, Windmill Road, Headington, Oxford OX3 7LD, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. G.","family":"Mowat","sequence":"additional","affiliation":[{"name":"The Nuffield Orthopaedic Centre, Windmill Road, Headington, Oxford OX3 7LD, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.79B6.0790918","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.79B6.0790918","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T19:05:02Z","timestamp":1629140702000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.79B6.0790918"}},"subtitle":["PREDICTIVE FACTORS AND LONG-TERM OUTCOME"],"short-title":[],"issued":{"date-parts":[[1997,11]]},"references-count":0,"aliases":["10.1302\/0301-620x.79b6.7408"],"journal-issue":{"issue":"6","published-print":{"date-parts":[[1997,11]]}},"alternative-id":["10.1302\/0301-620X.79B6.0790918"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.79b6.0790918","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[1997,11]]}}}