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Year 2011, Volume: 45 Issue: 3, 149 - 155, 15.07.2011

Abstract

Long-term results of surgical treatment of pigmented villonodular synovitis of the knee

Year 2011, Volume: 45 Issue: 3, 149 - 155, 15.07.2011

Abstract

Objectives: The aim of this study was to evaluate the long-term results of total synovectomy in pigmented villonodular synovitis of the knee (PVNS).
Methods: Open total synovectomy was performed for 19 patients (9 men, 10 women; mean age: 42.8 years) with PVNS. Of these patients, 15 had diffuse and 4 localized PVNS. The patients were followed for an average of 80.2 months and the average time between the onset of complaints and surgery was 23 months. In 4 patients, PVNS was identified during total knee replacement (TKR) performed due to gonarthrosis. Radiotherapy was performed as an adjuvant treatment in one patient with recurrence. Puncture was performed in 11 patients due to effusion and 8 to 70 cc of fluid was aspirated. Diagnosis was made during the exposure for TKR in 4 patients, by a biopsy in 2 and based on joint puncture and MRI findings in the rest.
Results: Recurrence occurred in 5 patients. A second total synovectomy was performed in 4 patients. Radiotherapy was used for the remaining one patient. Two patients were operated three times. During the follow-up, TKR was performed in 7 of the 19 patients. None of the patients developed infection and hemarthrosis requiring puncture nor required amputation or arthrodesis.
Three patients had a postoperative knee joint stiffness of 10 to 25 degrees. The patients were evaluated according to the Knee Society Score and 8 (42.2%) had perfect, 9 (47.3%) good and 2
(10.5%) bad results.
Conclusion: PVNS is a disease with a high risk of recurrence. No individual or combined treatment method can offer a definitive solution. Open or arthroscopic radical synovectomy is still considered as the gold standard. If necessary, adjuvant intraarticular or extraarticular radiotherapy can be added to the treatment.

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Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Orhan Akinci This is me

Yavuz Akalin This is me

Mustafa Incesu This is me

Ahmet Eren This is me

Publication Date July 15, 2011
Published in Issue Year 2011 Volume: 45 Issue: 3

Cite

APA Akinci, O., Akalin, Y., Incesu, M., Eren, A. (2011). Long-term results of surgical treatment of pigmented villonodular synovitis of the knee. Acta Orthopaedica Et Traumatologica Turcica, 45(3), 149-155.
AMA Akinci O, Akalin Y, Incesu M, Eren A. Long-term results of surgical treatment of pigmented villonodular synovitis of the knee. Acta Orthopaedica et Traumatologica Turcica. July 2011;45(3):149-155.
Chicago Akinci, Orhan, Yavuz Akalin, Mustafa Incesu, and Ahmet Eren. “Long-Term Results of Surgical Treatment of Pigmented Villonodular Synovitis of the Knee”. Acta Orthopaedica Et Traumatologica Turcica 45, no. 3 (July 2011): 149-55.
EndNote Akinci O, Akalin Y, Incesu M, Eren A (July 1, 2011) Long-term results of surgical treatment of pigmented villonodular synovitis of the knee. Acta Orthopaedica et Traumatologica Turcica 45 3 149–155.
IEEE O. Akinci, Y. Akalin, M. Incesu, and A. Eren, “Long-term results of surgical treatment of pigmented villonodular synovitis of the knee”, Acta Orthopaedica et Traumatologica Turcica, vol. 45, no. 3, pp. 149–155, 2011.
ISNAD Akinci, Orhan et al. “Long-Term Results of Surgical Treatment of Pigmented Villonodular Synovitis of the Knee”. Acta Orthopaedica et Traumatologica Turcica 45/3 (July 2011), 149-155.
JAMA Akinci O, Akalin Y, Incesu M, Eren A. Long-term results of surgical treatment of pigmented villonodular synovitis of the knee. Acta Orthopaedica et Traumatologica Turcica. 2011;45:149–155.
MLA Akinci, Orhan et al. “Long-Term Results of Surgical Treatment of Pigmented Villonodular Synovitis of the Knee”. Acta Orthopaedica Et Traumatologica Turcica, vol. 45, no. 3, 2011, pp. 149-55.
Vancouver Akinci O, Akalin Y, Incesu M, Eren A. Long-term results of surgical treatment of pigmented villonodular synovitis of the knee. Acta Orthopaedica et Traumatologica Turcica. 2011;45(3):149-55.