Pinheiro Junior Lucio Flávio Biondi, Cenni Marcos Henrique Frauendorf, Leal Rafael Henriques Soares, Teixeira Luiz Eduardo Moreira
Rede Mater Dei de Saúde, Belo Horizonte, MG, Brazil.
Hospital da Unimed, Belo Horizonte, MG, Brazil.
Rev Bras Ortop. 2017 Aug 14;52(5):616-620. doi: 10.1016/j.rboe.2017.08.002. eCollection 2017 Sep-Oct.
This paper reports a case of diffuse pigmented villonodular synovitis (DPVNS), associated with advanced gonarthrosis, submitted to total knee replacement. The patient had progressive pain and swelling. She had two previous surgeries, firstly arthroscopic synovectomy and subsequently open synovectomy associated with radiotherapy, with recurrence of the disease. Magnetic resonance imaging revealed diffuse synovitis, advanced arthrosis, and bone cysts. The patient was submitted to a total knee replacement and synovectomy. There was a good postoperative clinical course, with improvement of pain, function, and joint edema on examination. The patient will be followed regarding the possibility of disease recurrence and implant survival.
本文报道了一例弥漫性色素沉着绒毛结节性滑膜炎(DPVNS)合并晚期膝关节病并接受全膝关节置换术的病例。患者有进行性疼痛和肿胀。她曾接受过两次手术,首先是关节镜下滑膜切除术,随后是开放性滑膜切除术并联合放疗,但疾病复发。磁共振成像显示弥漫性滑膜炎、晚期关节病和骨囊肿。患者接受了全膝关节置换术和滑膜切除术。术后临床过程良好,检查时疼痛、功能和关节水肿均有改善。将对患者进行随访,观察疾病复发和植入物存活的可能性。