The combined procedure of synovectomy and resection of the radial head
was performed in thirty-five patients (forty-two elbows) with Stage-III or
IV rheumatoid arthritis. These patients were followed postoperatively for a
minimum period of two years (average, seven years). The result was graded
as excellent in four, good in fifteen, fair in fourteen, and poor in nine
elbows. Pain was diminished from the preoperative level in all but six
elbows, but motion was not much improved. Synovitis recurred
postoperatively in thirteen elbows, but in only five did the destructive
process progress to a degree requiring a second operation. We think that
synovectomy for relief of pain in the elbow is not contraindicated in the
presence of Stage-III or IV rheumatoid disease, but that little improvement
of elbow motion can be expected.