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根治性滑膜切除及关节固定术后膝关节复发性滑膜软骨瘤病

Recurrent synovial chondromatosis of the knee after radical synovectomy and arthrodesis.

作者信息

Church J S, Breidahl W H, Janes G C

机构信息

Perth Orthopaedic and Sports Medicine Centre, 31 Outram Street, West Perth 6005, Western Australia.

出版信息

J Bone Joint Surg Br. 2006 May;88(5):673-5. doi: 10.1302/0301-620X.88B5.17579.

DOI:10.1302/0301-620X.88B5.17579
PMID:16645119
Abstract

We describe a case of highly refractory synovial chondromatosis, which recurred despite four arthroscopic synovectomies, a chemical synovectomy, two open synovectomies and an arthrodesis. A review of the literature revealed one similar case. Both presented with marked joint stiffness suggesting a poor prognosis. Although arthrodesis may relieve short-term symptoms it does not prevent further recurrence of disease.

摘要

我们描述了一例高度难治性滑膜软骨瘤病,尽管进行了四次关节镜下滑膜切除术、一次化学滑膜切除术、两次开放性滑膜切除术和一次关节固定术,该疾病仍复发。文献回顾发现了一例类似病例。两者均表现出明显的关节僵硬,提示预后不良。尽管关节固定术可能缓解短期症状,但并不能防止疾病进一步复发。

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