Arthroscopic treatment of diffuse pigmented villonodular synovitis of the knee Complete synovectomy and septum removal- midterm results
Author(s):
Keyhani S. (Iran)
,
Keyhani S. (Iran)
Affiliations:
soleymanha m.
soleymanha m.
Affiliations:
ESSKA Academy. keyhani s. 05/09/18; 209332; P03-1187
sohrab keyhani
sohrab keyhani
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Abstract
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Objectives: The purpose of this study was to evaluate and describe the clinical results and outcomes of complete arthroscopic synovectomy through the four arthroscopic portals in the knee affected by diffuse pigmented villonodular synovitis

Methods: Between 2009 and 2014, 19 patients (9 men and 10 women) with diffuse form of pigmented villonodular synovitis of the knee were enrolled in the study after qualification. The clinical diagnosis was confirmed by MRI and post-surgery pathology. All patients underwent complete synovectomy through posteromedial, posterolateral, anteromedial and anterolateral
portals. Each patient was evaluated before treatment and minimum of 2 years follow-up according to clinically, radiographically and subjectively.

Results: Patients were followed up for a minimum of 2 years (range 24 - 79 months). Both Lysholm score and IKDC scores were significantly increased in all cases. No case of recurrence, infection, joint stiffness or neurovascular lesions were seen.

Conclusions: This study showed that a well done arthroscopic synovectomy is safe and gives good clinical outcome with low recurrence rate.

Keywords:
arthroscopy-PVNS-synovectomy
Objectives: The purpose of this study was to evaluate and describe the clinical results and outcomes of complete arthroscopic synovectomy through the four arthroscopic portals in the knee affected by diffuse pigmented villonodular synovitis

Methods: Between 2009 and 2014, 19 patients (9 men and 10 women) with diffuse form of pigmented villonodular synovitis of the knee were enrolled in the study after qualification. The clinical diagnosis was confirmed by MRI and post-surgery pathology. All patients underwent complete synovectomy through posteromedial, posterolateral, anteromedial and anterolateral
portals. Each patient was evaluated before treatment and minimum of 2 years follow-up according to clinically, radiographically and subjectively.

Results: Patients were followed up for a minimum of 2 years (range 24 - 79 months). Both Lysholm score and IKDC scores were significantly increased in all cases. No case of recurrence, infection, joint stiffness or neurovascular lesions were seen.

Conclusions: This study showed that a well done arthroscopic synovectomy is safe and gives good clinical outcome with low recurrence rate.

Keywords:
arthroscopy-PVNS-synovectomy
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