Arthroscopic Treatment for Localized Pigmented Villonodular Synovitis of the Knee

Kim, Sung Jae; Shin, Sang Jin; Choi, Nam Hong; Choo, Eui Tak

doi:10.1097/00003086-200010000-00026

Cited by 77 publications

(67 citation statements)

References 12 publications

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“…Thus, addressing the posterior disease in diffuse PVNS is important to improve disease free survival. In our series, arthroscopic surgery demonstrated better success in localized disease than in diffuse disease, as reported in the literature [1,9,[15][16][17]25]. There is a paucity of literature on combined open and arthroscopic approaches [21].…”

Section: Discussionsupporting

confidence: 71%

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Outcomes after Excision of Pigmented Villonodular Synovitis of the Knee

Sharma

Cheng

2009

Clinical Orthopaedics &Amp; Related Research

107

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Pigmented villonodular synovitis (PVNS) has a high but variable recurrence rate. Prior studies do not compare recurrence-free survival (RFS) for various surgical approaches or salvage surgery for relapse. We therefore determined: (1) RFS after excision; (2) RFS after salvage surgery for relapse; (3) factors associated with relapse. We retrospectively reviewed the medical records of 49 patients with previously untreated PVNS of the knee (12 localized, 37 diffuse) who were treated with synovectomy from 1991 to 2008; there were 22 males and 27 females, with mean age of 35.2 years (range, 10-73). Minimum followup was 1 year (mean, 6.2 years; range, 1-13). Twenty-one patients had a relapse. The RFS for index surgery was 75% and 53%; and for salvage surgery was 71% and 52% at 2 and 5 years respectively. The RFS was 95% for open versus 62% for arthroscopic synovectomy at 2 years, 71% and 41% at 5 years. The RFS was 91% for localized and 70% for diffuse PVNS at 2 years, 73% and 48% at 5 years. Diffuse disease (RR = 4.49) and arthroscopic synovectomy (RR = 3.30) were associated with relapse. Recurrence was frequent after synovectomy. Reexcision can salvage relapses as successfully as excision for primary disease; however, morbidity was associated with additional surgeries.

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Section: Discussionsupporting

confidence: 71%

“…Several options have been an all arthroscopic procedure [9,[15][16][17]25], an extensile open anteroposterior approach [6,11], a combined anterior arthroscopic and open posterior synovectomy [9], and a subtotal synovectomy with adjuvant radiotherapy [3,20].…”

Section: Introductionmentioning

confidence: 99%

Outcomes after Excision of Pigmented Villonodular Synovitis of the Knee

Sharma

Cheng

2009

Clinical Orthopaedics &Amp; Related Research

107

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“…Other possibilities suggested in the literature include: benign neoplastic processes, reactions to unknown stimuli and reactions to repeated episodes of trauma (7,12) .…”

Section: Discussionmentioning

confidence: 99%

“…Arthroscopic resection is the method most indicated for treating PVNS. Arthroscopy causes less injury to the structures of the knee and leads to earlier recovery (7,12) . Radiotherapy is used in cases of multiple recurrence (17,18,19) .…”

Section: Discussionmentioning

confidence: 99%

Sinovite vilonodular pigmentada localizada: relato de caso

Godoy¹,

Faustino²,

Meneses³

et al. 2011

Rev. bras. ortop.

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“…The treatment of choice in GCTTS is local excision with a normal tissue wedge without causing joint instability. According to Kim and cols., arthroscopy is a valuable method for diagnosing and treating GCTTS, being this technique less invasive than open surgery, and, additionally, occasional associated injuries can be treated during the same procedure (7) . Local recurrence of this pathology has been described in a rate of 25-50%, but inconsistencies are seen among studies in literature concerning postoperative follow-up time, resection quality and the presence of satellite lymphonodus (8,13) .…”

Section: Discussionmentioning

confidence: 99%

Tumor de células gigantes de bainha de tendão no LCA

et al. 2007

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Trata-se de um relato de caso de tumor de células gigantes de bainha do ligamento cruzado anterior, uma localização extremamente rara para esse tipo de lesão. O paciente do sexo feminino apresentava dor no joelho, sem relato de trauma anterior. Foi submetido ao exame clínico, ao estudo radiográfico e de ressonância magnética da região. Feita a hipótese diagnóstica de TGC de Bainha, o paciente foi então tratado com ressecção artroscópica do tumor. O diagnóstico foi confirmado com exame anátomo-patológico. O paciente evoluiu bem, com melhora dos sintomas referidos no pré-operatório.

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Arthroscopic Treatment for Localized Pigmented Villonodular Synovitis of the Knee

Cited by 77 publications

References 12 publications

Outcomes after Excision of Pigmented Villonodular Synovitis of the Knee

Outcomes after Excision of Pigmented Villonodular Synovitis of the Knee

Sinovite vilonodular pigmentada localizada: relato de caso

Tumor de células gigantes de bainha de tendão no LCA

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