[High recurrence and good functional results after arthroscopic resection of pigmented villonodular synovitis].

Autor: Isart A; Institut Català de Traumatologia i Medicina de l'Esport (ICATME)-Hospital Universitari Quirón-Dexeus, Universitat Autònoma de Barcelona, Barcelona, España. Electronic address: isartanna@gmail.com., Gelber PE; Institut Català de Traumatologia i Medicina de l'Esport (ICATME)-Hospital Universitari Quirón-Dexeus, Universitat Autònoma de Barcelona, Barcelona, España; Servicio de Cirugía Ortopédica y Traumatología, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, España., Besalduch M; Servicio de Cirugía Ortopédica y Traumatología, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, España., Pelfort X; Institut Català de Traumatologia i Medicina de l'Esport (ICATME)-Hospital Universitari Quirón-Dexeus, Universitat Autònoma de Barcelona, Barcelona, España., Erquicia JI; Institut Català de Traumatologia i Medicina de l'Esport (ICATME)-Hospital Universitari Quirón-Dexeus, Universitat Autònoma de Barcelona, Barcelona, España., Tey-Pons M; Institut Català de Traumatologia i Medicina de l'Esport (ICATME)-Hospital Universitari Quirón-Dexeus, Universitat Autònoma de Barcelona, Barcelona, España., Monllau JC; Institut Català de Traumatologia i Medicina de l'Esport (ICATME)-Hospital Universitari Quirón-Dexeus, Universitat Autònoma de Barcelona, Barcelona, España; Servicio de Cirugía Ortopédica y Traumatología, Parc de Salut Mar, Universitat Autònoma de Barcelona, Barcelona, España.
Jazyk: Spanish; Castilian
Zdroj: Revista espanola de cirugia ortopedica y traumatologia [Rev Esp Cir Ortop Traumatol] 2015 Nov-Dec; Vol. 59 (6), pp. 400-5. Date of Electronic Publication: 2015 Jul 29.
DOI: 10.1016/j.recot.2015.05.006
Abstrakt: Introduction: Pigmented villonodular synovitis (PVS) is a synovial proliferation disorder of uncertain aetiology, with some controversy as regards its proper treatment. The purpose of the study was to evaluate the functional outcome and recurrence rate in a series of patients diagnosed with both the diffuse and the localised type of PVS and treated by arthroscopic resection.
Material and Methods: Twenty-four patients diagnosed with PVS were retrospectively assessed. There were 11 cases with the diffuse type, and 13 cases with the localised type of PVS. They were followed-up for a median of 60 months (range, 34-204). They underwent arthroscopic synovectomy, and were functionally evaluated with IKDC, WOMET, and Kujala scores.
Results: There was recurrence in 8 out of 13 (61.5%) cases with the diffuse type of PVS. Two of these patients were treated with radiation. One patient underwent surgical resection with an open procedure due to extra-articular involvement. The remaining 5 patients underwent a second arthroscopic resection, and no recurrence was subsequently observed. Cases with localised PVS did not recur after a single arthroscopic resection. IKDC, WOMET and Kujala scores improved by 30.6, 37.4 and 34.03 points, respectively.
Discussion: Pigmented villonodular synovitis treated by arthroscopic resection showed good functional results at mid-term follow-up. A single arthroscopic resection was sufficient to treat the localised PVS, whereas the diffuse type of PVS required a second arthroscopic resection in most cases, due to its high rate of recurrence.
(Copyright © 2014 SECOT. Published by Elsevier Espana. All rights reserved.)
Databáze: MEDLINE
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