Arthroscopic Treatment of Diffuse Pigmented Villonodular Synovitis of the Knee: Complete Synovectomy and Septum Removal-Midterm Results
| Autor: | René Verdonk, Mehran Soleymanha, Sohrab Keyhani, Seyyed Morteza Kazemi, Jin Hwan Ahn |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Knee Joint medicine.medical_treatment Synovectomy Synovitis Pigmented Villonodular 03 medical and health sciences Arthroscopy Young Adult 0302 clinical medicine Synovitis Medicine Humans Orthopedics and Sports Medicine Child 030222 orthopedics medicine.diagnostic_test business.industry Magnetic resonance imaging 030229 sport sciences medicine.disease Neurovascular bundle Magnetic Resonance Imaging Surgery Pigmented villonodular synovitis Clinical recurrence Clinical diagnosis Female Neoplasm Recurrence Local business |
| Zdroj: | The journal of knee surgery. 32(5) |
| ISSN: | 1938-2480 |
| Popis: | The purpose of this study was to evaluate and describe the clinical results of complete arthroscopic synovectomy through the four arthroscopic portals in the knees affected by diffuse pigmented villonodular synovitis (DPVNS). Between 2009 and 2012, 21 patients (15 men and 6 women) with the diffuse form of PVNS of the knee were enrolled in the study after qualification. The clinical diagnosis was confirmed by magnetic resonance imaging and postsurgical pathologic examination. All patients underwent complete synovectomy through posteromedial, posterolateral, anteromedial, and anterolateral portals. Each patient was evaluated before treatment and followed up for a minimum of 5 years (range: 60–79 months) using the Lysholm score and International Knee Documentation Committee (IKDC) score. Both Lysholm score and IKDC scores were significantly improved in all study participants. No cases of clinical recurrence, infection, joint stiffness, or neurovascular lesions were observed. This study showed that an attentive arthroscopic synovectomy is a safer alternative with better clinical outcomes, with no clinical recurrences. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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