Vališ P, Vyskočil R
Ortopedická klinika, Fakultní nemocnice Brno.
Acta Chir Orthop Traumatol Cech. 2016;83(3):198-201.
This study describes a diagnostic and therapeutic algorithm in a 53-year-old male patient who was diagnosed with a synovial chondromatosis of the knee joint extending to the popliteal fossa and soft tissues around the knee. Because of the presence of massive nodules, the patient was indicated for total synovectomy, with removal of pathologically changed cartilaginous tissue, performed by combined anterior and posterior approaches to the knee joint. Despite complete removal of the synovium and loose cartilage bodies and the patient's pain relief in the post-operative time, three years after the operation new problems appeared. Magnetic resonance imaging (MRI) confirmed a relapse of synovial chondromatosis and the patient was indicated for revision surgery of the knee joint. The results of physical examination and MRI scans, and intra-operative findings in the patient are reported.
synovial chondromatosis, total synovectomy, direct anterior and posterior approaches to the knee joint.
本研究描述了一名53岁男性患者的诊断和治疗算法，该患者被诊断为膝关节滑膜软骨瘤病，病变延伸至腘窝及膝关节周围软组织。由于存在大量结节，该患者接受了全滑膜切除术，切除病理改变的软骨组织，手术采用膝关节前后联合入路。尽管术后滑膜和游离软骨体被完全切除，患者疼痛缓解，但术后三年出现了新问题。磁共振成像（MRI）证实滑膜软骨瘤病复发，该患者接受了膝关节翻修手术。报告了该患者的体格检查结果、MRI扫描结果及术中所见。
滑膜软骨瘤病；全滑膜切除术；膝关节前后直接入路
