Outcomes of arthroscopic management for pigmented villonodular synovitis of the hip

Open or Arthroscopic Synovectomy Is the Preferred Management Option in Pigmented Villonodular Synovitis of the Hip Joint Without Evidence of Degeneration: A Systematic Review of 20 Studies

“…Fourteen studies described hip preservation (nonarthroplasty) surgical techniques in the management of hip PVNS, of which there were 7 studies that described arthroscopic techniques 21 , 22 , 23 , 24 , 25 , 26 , 27 and 8 studies that described open techniques. 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 One study described both open and arthroscopic techniques.…”

“…33 Four of their patients had a poor outcome, in which total synovectomy was performed in three cases, and repeat therapy was performed in one case. Radiosynoviothesis was described as adjuvant therapy in 2 studies to synovectomy; 25 , 31 however, information on outcomes was only available for one study. In that study by Schroder et al., 1 of 5 patients who received open synovectomy with adjuvant radiosynoviothesis had recurrence.…”

“…27 For studies describing arthroscopic techniques of synovectomy, two studies performed adjuvant MANAGEMENT OF HIP PVNS e5 synoviorthesis. 22,25 Most of these studies were case series, with a limited number of patients. In total, there were 95 patients managed with arthroscopic synovectomy included in our analysis, with individual studies recruiting between 5 and 32 patients.…”

Arthroscopic Synovectomy of the Hip Joint: The Regional Surgical Technique

“…Synovectomy is the ultimate treatment option for synovial disease of the hip joint. 11,16,17 The traditional surgical treatment follows surgical dislocation technique to expose the synovium for resection, which has disadvantages or complications such as large surgical trauma, long rehabilitation time, postoperative infection, heterotopic ossification, and femoral head necrosis. With the development of hip arthroscopy, the completion of arthroscopic hip synovectomy has obvious advantages with respect to perioperative care, rehabilitation, and reduced complications.…”

“…Previous clinical studies on arthroscopic synovectomy for PVNS, synovial chondromatosis, and rheumatoid synovitis reported good clinical outcome. [16][17][18] However, arthroscopic synovectomy for the hip joint has high technical requirements; accordingly, treatment outcome and postoperative recurrence of arthroscopic synovectomy are both closely related to the expertise of the surgeon. Incomplete joint synovectomy during surgery is an important reason for postoperative recurrence.…”