Arthroscopy: The Journal of Arthroscopic & Related Surgery
International Section: CubaCombined partial arthroscopic synovectomy and radiation therapy for diffuse pigmented villonodular synovitis of the knee*
Section snippets
Methods
Forty-three of all referred patients during the time of the study with clinical symptoms of villonodular synovitis were evaluated arthroscopically. All had a history of atraumatic symptoms of knee pain, local hyperthermia, swelling, and loss of range of motion, and all had failed treatment including at least 6 months of nonsteroidal anti-inflammatory drugs, physical therapy with anti-inflammatory modalities, and avoidance of perpetuating activities. Arthroscopic evaluation was suggestive of
Results
Criteria for determining outcomes at follow-up were primarily patient-reported symptoms. Three patients reported stiffness and swelling, and 2 of these reported pain at follow-up. No patient had erythema. Three patients experienced recurrence of PVNS within 1 year as determined by ultrasonic confirmation of synovial hypertrophy, pain, inflammation, and hyperemia. These recurrences were treated with repeat anterior arthroscopic synovectomy. No further recurrences have occurred. A comparison of
Discussion
Motorized arthroscopic synovectomy is an effective tool in treating PVNS, but when used alone it may be insufficient in eliminating all affected tissue. Flandry et al.14 reported a recurrence rate of 8% of diffuse PVNS of the knee in 23 patients treated by total synovectomy with good to excellent results in all patients, but with 8 patients who required closed manipulation. This may be due to the extensor realignment necessary in patients with redundancy secondary to chronic distention. Zvijac
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Surgical outcomes of patients with diffuse-type tenosynovial giant-cell tumours: an international, retrospective, cohort study
2019, The Lancet OncologyCitation Excerpt :Standard arthroscopy of the knee with the use of only anteromedial and anterolateral approaches, however, does not allow surgical access to remove all areas in which diseased tissue is likely to be present. Therefore, Blanco and colleagues26 and Mollon and colleagues27 used multiple portals, including posteromedial and posterolateral in arthroscopic synovectomy.28 Chin and colleagues29 stated that knee arthroscopy alone is an inferior treatment for extra-articular tenosynovial giant-cell tumours.
Complications After Total Knee Arthroplasty in Patients With Pigmented Villonodular Synovitis
2019, Journal of ArthroplastyGiant cell tumor of tendon sheath: Open surgery or arthroscopic synovectomy? A systematic review of the literature
2017, Revue de Chirurgie Orthopedique et TraumatologiqueGiant cell tumor of tendon sheath: Open surgery or arthroscopic synovectomy? A systematic review of the literature
2017, Orthopaedics and Traumatology: Surgery and ResearchDiffuse pigmented villonodular synovitis in knee joint: diagnosis and treatment
2017, Revista Brasileira de OrtopediaPrognosis of Advanced Tenosynovial Giant Cell Tumor of the Knee Diagnosed During Total Knee Arthroplasty
2017, Journal of Arthroplasty
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Address correspondence and reprint requests to Todd B. Guthrie, M.D., Park Ridge Orthopedics P.A., 27 Doctor’s Dr, Fletcher, NC 28732, U.S.A. E-mail: [email protected]