Persistent synovial fistula after athroscopy in carbon synovitis

Deshmukh, N; Hui, AC

doi:10.1046/j.1440-1622.2001.02036.x

Cited by 4 publications

(7 citation statements)

References 6 publications

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“…Complications associated with knee arthroscopy may be minor or major, preventable or not, and include infection, vascular and nerve injuries, synovitis, effusions, hemarthrosis, deep venous thrombosis, wound healing problems, and complex regional pain syndrome. 1,4,[6][7][8]19,21 The reported complication rate ranges between 0.56% 24 and 8.2% 23 and depends on the procedure, age of the patient, and use of a tourniquet. 1,21,23,24 The most common complication is hemarthrosis (60.1%, 6 incidence 1% 5 ) and the operation more susceptible to it is lateral retinacular release.…”

Section: Discussionmentioning

confidence: 99%

“…The sinus is covered with synovial tissue and the usual clinical presentation is an arthroscopic portal or skin incision that fails to heal. 1,4,7,13 This complication is likely under-reported because of its benign clinical course.…”

Section: Discussionmentioning

confidence: 99%

“…Several rare complications have been reported to occur during or after the arthroscopic procedure. 1,4,[6][7][8]19,21 Wound-healing complications occur in approximately 10% of cases 12 and include local pain, hematoma, bruising, delayed healing, discharge, infection, erythema, scar formation, cosmetic problems, and synovial fi stulae. 1,7,19,21,23 Most wound problems are of minor severity and can be treated conservatively.…”

Section: Introductionmentioning

confidence: 99%

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Diagnosis and Treatment of Postarthroscopic Synovial Knee Fistulae – A Report of Four Cases and Review of the Literature

Yiannakopoulos¹

2010

J Knee Surg

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Development of synovial knee fi stulae following arthroscopic knee surgery is a rare but under-reported complication. The diagnosis and treatment of this complication is described in a series of four patients. Synovial knee fi stula formation is a benign complication and in the majority of patients it can be treated conservatively with immobilization until healing occurs. The presence of infection should always be excluded.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Diagnosis and Treatment of Postarthroscopic Synovial Knee Fistulae – A Report of Four Cases and Review of the Literature

Yiannakopoulos¹

2010

J Knee Surg

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“…The condition generally occurs after arthrotomy or a trauma-associated joint capsule rupture in the knee joint [ 2 , 3 , 4 , 5 , 6 , 7 ], though it has been reported in the shoulder or arm [ 8 , 9 , 10 , 11 , 12 , 13 ]. A synovial fistula can also be caused by complications of rheumatoid arthritis and by suture material reactions [ 14 , 15 ]. However, due to the low incidence of synovial fistula, its clinical manifestations, diagnostic methods, and treatment are not well known.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of Synovial Fistula of the Ankle Joint: A Case Series

Park

Woo

et al. 2022

JCM

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(1) Background: Little is known about the etiology, clinical features, diagnosis methods, treatments, and the prognosis of synovial fistula of the ankle joint. The purpose of this study is to investigate the clinical features of synovial fistula of the ankle joint. (2) Methods: Between March 2003 and December 2018, 40 cysts associated with synovial fistula of the ankle joint were treated consecutively by two surgeons. Case histories, clinical manifestations, intraoperative findings, surgical treatment methods, and treatment outcomes were evaluated to characterize fistula-associated cysts. The clinical results were assessed using the visual analog scale (VAS) and the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot functional scores, preoperatively and at the last follow-up. (3) Results: The main complaints were ankle instability and pain (15 patients), pain only (15 patients), instability (seven patients), and cosmetic problems (three patients). Eleven patients had a cyst with an open skin wound, and eight of these patients had undergone surgery under a misdiagnosis of bursitis. Cysts were located anterior to the lateral malleolus in 22 cases, next to the lateral malleolus in 13 cases, posterior to the lateral malleolus in three cases, and across the entire lateral malleolus in two cases. Mean VAS and AOFAS scores improved from 5.2 (range, from 1 to 7) and 72.3 (range, from 65 to 87) preoperatively to 1.1 (range, from 0 to 3) and 93.6 (range, from 85 to 100), respectively, at final follow-up visits. (4) Conclusions: Cyst occurrence due to a synovial fistula should be considered when treating a cyst around the lateral malleolus. Fistula repair and reinforcement with fibular periosteum provides a good treatment option for cysts attributed to synovial fistula of the ankle that fail to respond to conservative treatment.

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“…9 The studies of portal management in knee arthroscopy have mainly addressed wound healing and cosmetic problems. [3][4][5]10,11 Effusion after knee arthroscopy affects patients' healing process negatively. It also delays the return to daily activities.…”

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confidence: 99%

Should We Suture Arthroscopic Portals? Effects on Intra-articular Fluid Retention

2021

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Knee arthroscopy is one of the most common surgical procedures in orthopaedics and especially in sports medicine. Portal problems and effusion after knee arthroscopy have been reported. The fluid retention within the joint in knee arthroscopy can affect clinical outcomes, but there is no consensus on portal management. The studies of portal management in knee arthroscopy have mainly addressed wound healing and cosmetic problems. There is insufficient information in the literature about whether the irrigation fluid used in this effusion contributes to the process. This study investigates whether arthroscopic irrigation fluid is retained in the joint and whether portal-closure management has an effect on effusion. In this randomized, prospective study, 91 patients (46 [50.5%] sutured-portal group and 45 [49.5%] open-portal group) were included. Suprapatellar knee-diameter measurement and the number of times the dressing was changed were used to assess intra-articular fluid collection. The visual analog scale (VAS) score, Oxford knee score, and Knee Society score were used to evaluate knee problems. All portal wounds in both groups healed without any problems. Superficial or deep infection was not observed in either group. There was no statistically significant difference in VAS score, Oxford knee scores, and Knee Society scores between groups. Although there was a decrease in the knee diameter of both groups between the early postoperative period and first postoperative day, a statistically significant difference in knee diameter was found, especially in the open-portal group. There was a significant difference between the groups in terms of the number of dressings used in the first 24 hours after surgery. Leaving portals open may be effective in preventing intra-articular fluid retention. We thus advise leaving the arthroscopy portals open with just a simple dressing for selected patients.

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Persistent synovial fistula after athroscopy in carbon synovitis

Cited by 4 publications

References 6 publications

Diagnosis and Treatment of Postarthroscopic Synovial Knee Fistulae – A Report of Four Cases and Review of the Literature

Diagnosis and Treatment of Postarthroscopic Synovial Knee Fistulae – A Report of Four Cases and Review of the Literature

Characteristics of Synovial Fistula of the Ankle Joint: A Case Series

Should We Suture Arthroscopic Portals? Effects on Intra-articular Fluid Retention

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