Systematic Arthroscopic Treatment of Diffuse Pigmented Villonodular Synovitis in the Knee
Pigmented villonodular synovitis (PVNS) is a benign aggressive disease that presents in either a localized (LPVNS) or diffuse (DPVNS) form. Arthroscopic synovectomy is the standard operative treatment for LPVNS, and when used to treat DPVNS, it is usually combined with an open posterior procedure. T...
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| Format: | Article |
| Language: | English |
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Elsevier
2017-10-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628717301950 |
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| author | Justin S. Chang, M.B.B.S. James P. Higgins, M.D. Jonathan D. Kosy, M.Sc., F.R.C.S. John Theodoropoulos, M.D., M.Sc., F.R.C.S.C. |
| author_facet | Justin S. Chang, M.B.B.S. James P. Higgins, M.D. Jonathan D. Kosy, M.Sc., F.R.C.S. John Theodoropoulos, M.D., M.Sc., F.R.C.S.C. |
| author_sort | Justin S. Chang, M.B.B.S. |
| collection | DOAJ |
| description | Pigmented villonodular synovitis (PVNS) is a benign aggressive disease that presents in either a localized (LPVNS) or diffuse (DPVNS) form. Arthroscopic synovectomy is the standard operative treatment for LPVNS, and when used to treat DPVNS, it is usually combined with an open posterior procedure. The purpose of this Technical Note is to report the technique that we have refined to allow for arthroscopic synovectomy as the sole treatment for DPVNS. We describe our technique with the factors we have found to be important to ensure adequate arthroscopic synovectomy, while minimizing risks and complications. The combination of additional portals, the use of multiple different shavers and arthroscopes, and the use of a leg holder all maximize our ability to clear disease. |
| first_indexed | 2024-04-11T20:20:58Z |
| format | Article |
| id | doaj.art-02e0483442ba4648ad6be1ddfc408709 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-04-11T20:20:58Z |
| publishDate | 2017-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-02e0483442ba4648ad6be1ddfc4087092022-12-22T04:04:48ZengElsevierArthroscopy Techniques2212-62872017-10-0165e1547e1551Systematic Arthroscopic Treatment of Diffuse Pigmented Villonodular Synovitis in the KneeJustin S. Chang, M.B.B.S.0James P. Higgins, M.D.1Jonathan D. Kosy, M.Sc., F.R.C.S.2John Theodoropoulos, M.D., M.Sc., F.R.C.S.C.3Department of Surgery, University of Toronto, Toronto, Ontario, Canada; Address correspondence to Justin S. Chang, M.B.B.S., Department of Surgery, University of Toronto, 149 College Street, Room 508A, Toronto, Ontario M5T 1P5, Canada.Department of Surgery, University of Toronto, Toronto, Ontario, CanadaDepartment of Surgery, University of Toronto, Toronto, Ontario, CanadaDivision of Orthopaedic Surgery, Department of Surgery, Mount Sinai Hospital and Women's College Hospital, Toronto, Ontario, CanadaPigmented villonodular synovitis (PVNS) is a benign aggressive disease that presents in either a localized (LPVNS) or diffuse (DPVNS) form. Arthroscopic synovectomy is the standard operative treatment for LPVNS, and when used to treat DPVNS, it is usually combined with an open posterior procedure. The purpose of this Technical Note is to report the technique that we have refined to allow for arthroscopic synovectomy as the sole treatment for DPVNS. We describe our technique with the factors we have found to be important to ensure adequate arthroscopic synovectomy, while minimizing risks and complications. The combination of additional portals, the use of multiple different shavers and arthroscopes, and the use of a leg holder all maximize our ability to clear disease.http://www.sciencedirect.com/science/article/pii/S2212628717301950 |
| spellingShingle | Justin S. Chang, M.B.B.S. James P. Higgins, M.D. Jonathan D. Kosy, M.Sc., F.R.C.S. John Theodoropoulos, M.D., M.Sc., F.R.C.S.C. Systematic Arthroscopic Treatment of Diffuse Pigmented Villonodular Synovitis in the Knee Arthroscopy Techniques |
| title | Systematic Arthroscopic Treatment of Diffuse Pigmented Villonodular Synovitis in the Knee |
| title_full | Systematic Arthroscopic Treatment of Diffuse Pigmented Villonodular Synovitis in the Knee |
| title_fullStr | Systematic Arthroscopic Treatment of Diffuse Pigmented Villonodular Synovitis in the Knee |
| title_full_unstemmed | Systematic Arthroscopic Treatment of Diffuse Pigmented Villonodular Synovitis in the Knee |
| title_short | Systematic Arthroscopic Treatment of Diffuse Pigmented Villonodular Synovitis in the Knee |
| title_sort | systematic arthroscopic treatment of diffuse pigmented villonodular synovitis in the knee |
| url | http://www.sciencedirect.com/science/article/pii/S2212628717301950 |
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