High recurrence and good functional results after arthroscopic resection of pigmented villonodular synovitis.

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• dc.contributor.author Isart Torruella, Annaca
• dc.contributor.author Gelber, Pablo-Eduardoca
• dc.contributor.author Besalduch, Marinaca
• dc.contributor.author Pelfort López, Javierca
• dc.contributor.author Erquicia, Juan Ignacioca
• dc.contributor.author Tey Pons, Marcosca
• dc.contributor.author Monllau García, Juan Carlosca
• dc.date.accessioned 2015-11-20T11:33:11Z
• dc.date.available 2016-12-31T03:00:03Z
• dc.date.issued 2015
• dc.description.abstract INTRODUCTION: Pigmented villonodular synovitis (PVS) is a synovial proliferation disorder of uncertain aetiology, with some controversy as regards its proper treatment. The purpose of the study was to evaluate the functional outcome and recurrence rate in a series of patients diagnosed with both the diffuse and the localised type of PVS and treated by arthroscopic resection. MATERIAL AND METHODS: Twenty-four patients diagnosed with PVS were retrospectively assessed. There were 11 cases with the diffuse type, and 13 cases with the localised type of PVS. They were followed-up for a median of 60 months (range, 34-204). They underwent arthroscopic synovectomy, and were functionally evaluated with IKDC, WOMET, and Kujala scores. RESULTS: There was recurrence in 8 out of 13 (61.5%) cases with the diffuse type of PVS. Two of these patients were treated with radiation. One patient underwent surgical resection with an open procedure due to extra-articular involvement. The remaining 5 patients underwent a second arthroscopic resection, and no recurrence was subsequently observed. Cases with localised PVS did not recur after a single arthroscopic resection. IKDC, WOMET and Kujala scores improved by 30.6, 37.4 and 34.03 points, respectively. DISCUSSION: Pigmented villonodular synovitis treated by arthroscopic resection showed good functional results at mid-term follow-up. A single arthroscopic resection was sufficient to treat the localised PVS, whereas the diffuse type of PVS required a second arthroscopic resection in most cases, due to its high rate of recurrence.ca
• dc.format.mimetype application/pdfca
• dc.identifier.citation Isart A, Gelber PE, Besalduch M, Pelfort X, Erquicia JI, Tey-Pons M. et al. High recurrence and good functional results after arthroscopic resection of pigmented villonodular synovitis. Rev Esp Cir Ortop Traumatol. 2015 Nov-Dec;59(6):400-405. doi: 10.1016/j.recot.2015.05.006.ca
• dc.identifier.doi http://dx.doi.org/10.1016/j.recot.2015.05.006
• dc.identifier.issn 1888-4415
• dc.identifier.uri http://hdl.handle.net/10230/25170
• dc.language.iso spaca
• dc.publisher Elsevierca
• dc.relation.ispartof Revista Española de Cirugía Ortopédica y Traumatología. 2015 Nov-Dec;59(6):400-5
• dc.rights Copyright © 2015 SECOT. Published by Elsevier España.ca
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.subject.other Genollsca
• dc.subject.other Artroscòpiaca
• dc.title High recurrence and good functional results after arthroscopic resection of pigmented villonodular synovitis.ca
• dc.type info:eu-repo/semantics/articleca
• dc.type.version info:eu-repo/semantics/acceptedVersionca