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Our clinical outcomes in patients operated with the diagnosis of pigmented villonodular synovitis

Resit Sevimli, Saadet Alan, Semih Eriten, Haci Polat, Ersen Turkmen.




Abstract

The aim of this study was to evaluate the clinical and surgical results of 21 cases treated with pigmented Villonodular Synovitis in our clinic between 2010 and 2018 and to share these results with the literature. The 5-year follow-up results of 21 cases with pigmented Villonodular Synovitis were evaluated retrospectively. Only patients undergoing surgical treatment were included in the study. The patients were investigated in terms of age, gender, anatomical region, size of the tumor, a surgical technique applied and recurrence. The involved joints are in turn; seven knees, five ankles, four feet, two hands, two hips, and one shoulder joints. The patients’ ages ranged from 9 to 81 years (mean 45). 11 of them were male, and 10 were female. Clinically; Pain and swelling in the involved joints were the most common complaints, and the most common symptom was the compression effect of the mass. The most commonly involved anatomic region was the knee joint. The majority of patients had no history of trauma. Recurrence was found in 23.8% of patients who underwent surgical treatment. Pigmented Villonodular Synovitis is a middle-aged disease that causes severe morbidity and compromises the quality of life. Arthroscopic and open surgical synovectomy can be performed successfully in the treatment of this condition.

Key words: Joint, pigmented villonodular synovitis, effusion, debridement, synovectomy






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