A rare case of extensive diffuse nonpigmented villonodular synovitis as a cause of total knee arthroplasty failure

Tosun, Hacı Bayram; Uludağ, Abuzer; Serbest, Sancar; Gümüştaş, Seyitali; Erdoğdu, İbrahim Halil

doi:10.1016/j.ijscr.2014.04.031

Cited by 11 publications

(6 citation statements)

References 15 publications

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“…Tosun et al. [15] reported a case of spontaneous diffuse non-PVNS, which presented in similar timeline to our patient roughly 4 years after surgery. Their patient had no evidence of recurrence in symptoms 6 months after revision surgery and synovectomy [16] .…”

Section: Discussionsupporting

confidence: 82%

An unusual case of pigmented villonodular synovitis after total knee arthroplasty presenting with recurrent hemarthrosis

et al. 2018

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Pigmented villonodular synovitis (PVNS) is a benign proliferative joint disease, which is a rare finding after total knee arthroplasty (TKA). There is currently no link between PVNS and TKA, and it has been described infrequently in the literature. Its presentation has varied along with the time that it presents postoperatively. We describe a case of a patient who presents with recurrent hemarthrosis 4 years after TKA. The patient had no previous history of PVNS and had an arthroscopy 1 year after the index operation with no evidence of synovitis. We present details of the first case with a review of imaging and pathology and a brief review of the literature on PVNS occurring after TKA.

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Section: Discussionsupporting

confidence: 82%

An unusual case of pigmented villonodular synovitis after total knee arthroplasty presenting with recurrent hemarthrosis

et al. 2018

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“…There was no significant difference in anemic rate before surgery, and only one patient in the periarticular cocktail injection group received blood transfusion after surgery; also, the rates of wound infection and DVT were not increased in the subperiosteal cocktail injection group, which meant that this technique could reduce blood loss without increasing complications [33,34]. Otherwise, the reduced blood loss would also be helpful to decrease the prosthesis loosening rate [35][36][37].…”

Section: Discussionmentioning

confidence: 99%

A new improvement: subperiosteal cocktail application to effectively reduce pain and blood loss after total knee arthroplasty

Wang

Zhou

2020

J Orthop Surg Res

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Background: Pain and blood loss after total knee arthroplasty (TKA) are unsolved clinical problems. Some studies reported that periarticular cocktail injection can effectively reduce pain and blood loss. However, there was no gold standard about the cocktail ingredient and injection location. More osteotomy and less soft tissue release in TKA with mild deformity; besides, plenty of nerves and blood vessels are contained in the periosteums and bone marrow. In this study, we aimed to detect the clinical results of subperiosteal cocktail application in TKA. Methods: Two groups were included according to the different injection location in our study. In group 1, cocktails were injected into the muscles, tendons, suprapatellar bursa, and subpatellar bursa surrounding knee joint. In group 2, cocktail injection was performed under the periosteum of the distal femur and proximal tibia. Our primary outcomes were visual analogue scale (VAS) and hemoglobin (Hb), and the secondary outcomes were wound healing, infection, deep vein thrombosis (DVT), operation time, and hospitalization. Results: At the first operative day, the mean (standard deviation) VAS score in a state of static was lower in group 2 compared with group 1 (0.98 ± 0.27 in group 1 and 0.86 ± 0.60 in group 2, p < 0.05). In the state of flexion and extension, the mean (standard deviation) VAS was 1.61 ± 0.66 in group 1 and 1.10 ± 0.57 in group 2 (p < 0.05). The mean (standard deviation) blood loss was higher in group 1 than in group 2 at the first postoperative day (440.19 (167.68) ml in group 1 and 333.67 (205.99) ml in group 2, p < 0.05). At the third day after surgery, the mean (standard deviation) blood loss was 686.44 (140.29) ml in group 1 and 609.19 (260.30) ml in group 2, and there was significant difference between these two groups (p < 0.05). Conclusions: We concluded that subperiosteal cocktail injection can significantly reduce pain and blood loss compared with periarticular cocktail injection after TKA.

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“…Treatment options for SAK are different from the type of infections. For acute knee infections, arthroscopic surgery is currently used [1]; for chronic joint infections or osteomyelitis, knee debridement is more suitable [5]; for periprosthetic joint infections, the generally accepted treatment is two-stage revision surgery [17][18][19]. However, for SAK, there is still no unified treatment strategy, and it is very challenging [20][21][22].…”

Section: Discussionmentioning

confidence: 99%

Clinical effects of staged joint replacement in patients with septic arthritic knee

Deng

et al. 2020

J Orthop Surg Res

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Objective To assess the clinical effect of staged joint replacement for the treatment of septic arthritic knee and the therapeutic differences between antibiotic cement beads and the tibial plateau spacer. Methods Twenty-three patients (24 knee joints) treated with a staged joint replacement for septic arthritis knee were retrospectively reviewed between March 2014 and April 2018. At the first stage, thorough debridement and irrigation with self-made antibiotic cement beads or tibial plateau spacer were performed. After that, systemic antibiotic treatment was followed; when the infection was surely eliminated, the second-stage TKA was performed. Knee mobility (range of motion, abbreviated to ROM) and function (HSS scores system) were evaluated before surgery, in the interval period, and after joint replacement. Results All patients finished follow-up, and the mean follow-up time was 27.3 months (12–54 months). Each group has one patient replaced with a homotypic spacer, and all patients eventually cleared the infection. None of the patients had a recurrent infection. The mobility and HSS scores of the two groups were significantly improved postoperation (p < 0.05). And there was no significant difference in the post-surgery ROM (p = 0.153) and the HSS score (p = 0.054) between the two groups. Conclusion Staged joint replacement is an efficacious way for septic arthritic knees, whether tibial plateau spacer or antibiotic cement beads were used, which can effectively control infection and improve knee function.

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A rare case of extensive diffuse nonpigmented villonodular synovitis as a cause of total knee arthroplasty failure

Cited by 11 publications

References 15 publications

An unusual case of pigmented villonodular synovitis after total knee arthroplasty presenting with recurrent hemarthrosis

An unusual case of pigmented villonodular synovitis after total knee arthroplasty presenting with recurrent hemarthrosis

A new improvement: subperiosteal cocktail application to effectively reduce pain and blood loss after total knee arthroplasty

Clinical effects of staged joint replacement in patients with septic arthritic knee

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