Results of the surgical treatment of diffuse pigmented villonodular synovitis (diffuse-type tenosynovial giant-cell tumor) of the knee

Authors

DOI:

https://doi.org/10.14739/2310-1210.2021.5.230164

Keywords:

pigmented villonodular synovitis, knee joint, tenosynovial giant cell tumor

Abstract

The aim. To develop a treatment algorithm with the aim of improving the treatment results of diffuse pigmented villonodular synovitis of the knee. To study and analyze the results of surgical treatment of diffuse pigmented villonodular synovitis of the knee.

Materials and methods. The study was based on the results of treatment of 48 patients with pathohistologically verified diagnosis of diffuse pigmented villonodular synovitis (tenosynovial giant cell tumor) of the knee undergoing treatment at the State Institution “Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine” from 2010 to 2019.

Results. The best functional results can be achieved in patients with diffuse pigmented villonodular synovitis of the knee in stage I of the disease. Using the method of mathematical statistics to evaluate the results obtained, we see that scores obtained through the Lysholm Scoring Scale were statistically significantly different in stages before a surgery (P = 0.000782), 3 months (P = 0.00005) and 6 months after the surgery (P = 0.04); but over time, these differences diminished and became actually insignificant 12 months after the surgery (P = 0.89).

Conclusions. Applying our therapeutic algorithm for the treatment of patients with diffuse pigmented villonodular synovitis of the knee, the outcome of the Lysholm score was excellent in 22 % of patients, good – in 45 %, satisfactory – in 21 % and poor – in 12 % of patients.

Author Biographies

S. I. Herasymenko, SI «Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine», Kyiv

MD, PhD, DSc, Professor, Head Doctor, Head of the Department of Joint Diseases in Adults

O. A. Kostogryz, SI “Institute of Traumatology and Orthopedics of the NAMS of Ukraine”, Kyiv

MD, PhD, DSc, Deputy Head Doctor for Surgical Care

Yu. O. Kostogryz, SI “Institute of Traumatology and Orthopedics of the NAMS of Ukraine”, Kyiv

MD, PhD, Junior Researcher of the Department of Joint Diseases in Adults

A. M. Babko, SI “Institute of Traumatology and Orthopedics of the NAMS of Ukraine”, Kyiv

MD, PhD, DSc, Senior Researcher of the Department of Joint Diseases in Adults

V. M. Mayko, CNE “Vinnytsia Regional Clinical Hospital named after M. I. Pyrohov of the Vinnytsia Regional Council”, Ukraine

MD, PhD, DSc, Associate Professor, Head of the Center for Orthopedics, Endoprosthesis and Reconstructive Traumatology

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Published

2021-09-01

How to Cite

1.
Herasymenko SI, Kostogryz OA, Kostogryz YO, Babko AM, Mayko VM. Results of the surgical treatment of diffuse pigmented villonodular synovitis (diffuse-type tenosynovial giant-cell tumor) of the knee. Zaporozhye Medical Journal [Internet]. 2021Sep.1 [cited 2024Jul.21];23(5):656-63. Available from: http://zmj.zsmu.edu.ua/article/view/230164

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Section

Original research