Total Ankle Replacement in Pigmented Villonodular Synovitis of Ankle Joint (A Case Report)

색소 융모결절종 환자에 시행한 족관절 인공관절 치환술(1예 보고)

  • Ha, Jung-Min (Department of Orthopaedic Surgery, Maryknoll Hospital) ;
  • Choi, Sun-Jin (Department of Orthopaedic Surgery, Maryknoll Hospital) ;
  • Lee, Chang-Bum (Department of Orthopaedic Surgery, Maryknoll Hospital) ;
  • Ha, Jeong-Han (Department of Orthopaedic Surgery, Maryknoll Hospital) ;
  • Park, Hyung-Taek (Department of Orthopaedic Surgery, Maryknoll Hospital)
  • 하정민 (부산 메리놀병원 정형외과) ;
  • 최선진 (부산 메리놀병원 정형외과) ;
  • 이창범 (부산 메리놀병원 정형외과) ;
  • 하정한 (부산 메리놀병원 정형외과) ;
  • 박형택 (부산 메리놀병원 정형외과)
  • Received : 2010.03.17
  • Accepted : 2010.05.13
  • Published : 2010.06.15

Abstract

Pigmented villonodular synovitis (PVNS) is a rare proliferative disease affecting joint synovium, tendon sheaths, bursae. The usual treatment for PVNS is a surgical excision. If destructive joint lesions have occurred, complete resections must be performed followed by arthrodesis or arthroplasty. We report a case of a pigmented villonodular synovitis involving an ankle joint which was treated by total ankle replacement for recurrence after simple synovectomy.

Keywords

References

  1. HobeIg M, Amstutz HC. Metal-on-metal hip resurfacing in patients with pigmented villonodular synovitis: a report of two cases. Orthopedics. 2010;33:50.
  2. Pinaroli A, Ait SST, Servien E, Neyret P. Surgical management of pigmented villonodular synovitis of the knee:Retrospective analysis of 28 cases. Rev Chir Orthop Reparatrice Appar Mot. 2006;92:437-47. https://doi.org/10.1016/S0035-1040(06)75830-5
  3. Jaffe H, Lichtenstein L, Sutro C. Pigmented villonodular synovitis, bursitis and tenosynovitis. A discussion of synovial and bursal eqivalents of tenosynovial lesion commonly denoted as xanthoma, xanthogranuloma, giant cell tumor, or myeloplaxoma of tendon sheath, with some considerations of this tendon sheath lesion itself. Arch Pathol. 1941;31:731-65.
  4. Kim RS, Kim CS, Park HW, Patk JH. Clinical Featured of Diffuse Pigmented Villonodular Synovitis in the Knee Joint. J Korean Orthop Assoc. 2002;37:215-9.
  5. Bisbinas I, Silva UD, Grimer RJ. Pigmented villonodular synovitis of the foot and ankle: a 12-year experience from a tertiary orthopedic Oncology Unit. J Foot Ankle Surg. 2004;43: 407-11. https://doi.org/10.1053/j.jfas.2004.09.002
  6. Brien EW, Sacoman DM, Mirra JM. Pigmented villonodular synovitis of the foot and ankle. Foot Ankle Int. 2004;25:908- 13.
  7. RocbweIger A, GrouIier P, Curvale G, Launay F. Pigmented villonodular synovitis of the foot and ankle: a report of eight cases. Foot Ankle Int. 1999;20:587-90. https://doi.org/10.1177/107110079902000909
  8. Flandry FC, Hughston JC, Jacobson KE, et aI. Surgical treatment of diffuse pigmented villonodular synovitis of the knee. Clin Orthop Relat Res. 1994;300:183-92.
  9. Ward WG Sr, Boles CA, Ball JD, Cline MT. Diffuse Pigmented Villonodular Synovitis: Preliminary Results with Intralesional Resection and P32 Synoviorthesis. Clin Orthop Relat Res. 2007;454: 186-91. https://doi.org/10.1097/01.blo.0000229345.57092.a2
  10. Shabat S, Kollender Y, Merimsky O, et aI. The use of surgery and yttrium 90 in the management of extensive and diffuse pigmented villonodular synovitis of large joints. Rheumatology. 2002;41:1113-8. https://doi.org/10.1093/rheumatology/41.10.1113