Document Detail


Surgical treatment of pigmented villonodular synovitis of the hip.
MedLine Citation:
PMID:  15866964     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Pigmented villonodular synovitis of the hip is a rare disease. Synovectomy is generally accepted as the only surgical treatment for the disorder, but there have been few studies with a sufficient sample size and duration of follow-up to allow the evaluation of long-term outcomes. The aim of this study was to determine the long-term outcome of the treatment in sixteen patients. METHODS: Sixteen patients (nine men and seven women), with a mean age of 35.5 years at the time of surgery, were treated between 1970 and 1996. Complete synovectomy was performed in all patients; in addition, three had a cup arthroplasty, four had a total hip arthroplasty, and one had a monopolar arthroplasty. Clinical and radiographic outcomes were evaluated retrospectively at a mean of 16.7 years postoperatively. Only one patient was followed for less than eight years. RESULTS: Nine patients needed repeat surgery, but only one had recurrent synovitis, as detected with pathological examination fourteen years after treatment with synovectomy and cup arthroplasty. Secondary osteoarthritis developed in all eight patients who had been treated with synovectomy alone, and four of them required a total hip arthroplasty within the follow-up period. CONCLUSIONS: These results support earlier data indicating that osteoarthritis consistently develops in patients with pigmented villonodular synovitis of the hip. Complete synovectomy seems to be effective in preventing recurrence of the synovitis, but it does not appear to prevent the development of secondary osteoarthritis.
Authors:
Laurent Vastel; Patrick Lambert; Gonzague De Pinieux; Olivier Charrois; Marcel Kerboull; Jean-Pierre Courpied
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  87     ISSN:  0021-9355     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-05-03     Completed Date:  2005-06-23     Revised Date:  2010-10-25    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1019-24     Citation Subset:  AIM; IM    
Affiliation:
Cochin University Hospital, Paris, France. laurent.vastel@cch.ap-hop-paris.fr
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MeSH Terms
Descriptor/Qualifier:
Adult
Arthroplasty
Disease Progression
Female
Hip Joint* / surgery
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Osteoarthritis, Hip / etiology
Retrospective Studies
Synovial Membrane / surgery*
Synovitis, Pigmented Villonodular / complications,  diagnosis,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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