Arthroscopic Treatment of Diffuse Pigmented Villonodular Synovitis of the Knee: Complete Synovectomy and Septum Removal—Midterm Results

Sohrab Keyhani; Seyyed Morteza Kazemi; Jin Hwan Ahn; René Verdonk; Mehran Soleymanha

doi:10.1055/s-0038-1646929

The Journal of Knee Surgery, Inhaltsverzeichnis

J Knee Surg 2019; 32(05): 427-433
DOI: 10.1055/s-0038-1646929

Original Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Arthroscopic Treatment of Diffuse Pigmented Villonodular Synovitis of the Knee: Complete Synovectomy and Septum Removal—Midterm Results

Sohrab Keyhani

¹Department of Orthopedic Surgery, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

,

Seyyed Morteza Kazemi

²Bone Joint and Related Tissues Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

,

Jin Hwan Ahn

³Department of Orthopedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea

,

René Verdonk

⁴Department of Orthopedics and Traumatology, Ghent University, Ghent, Belgium

,

Mehran Soleymanha

⁵Department of Orthopaedics, Orthopaedic Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran

› Institutsangaben

Abstract

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.

Keywords

knee - pigmented villonodular synovitis - arthroscopic synovectomy

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Referenzen

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