این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
Medical Journal of Islamic Republic of Iran، جلد ۲۸، شماره ۱، صفحات ۸۱۵-۸۲۲
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Surgical outcomes of 26 patients with pigmented villonodularsy-novitis (PVNS) of the knee at a mean follow-up of 4 years: intro-ducing a novel technique
چکیده انگلیسی مقاله Background :Pigmented villonodularsynovitis (PVNS) is characterized by the presence of inflammation and hemosiderin deposition in the synovium. Two forms of PVNS distinguished in the literature are diffused and localized involvements. There are controversies in the literature about the surgical management of PVNS. We report our experience in the management of knee PVNS at a mean follow-up of 4 years. We also introduce our preferred method of treatment for these patients. Methods : A number of 26 patients (26 knees) with histologically proven PVNS of the knee in the pathology department at ShafaYahyaeyan hospital were identified between January 1996 and February 2012. Annual clinical follow-up was conducted in all patients and a follow-up MRI scans was ordered for symptomatic cases. All patients were examined according to the Knee Society Score (KSS) in which the knees were graded from excellent to poor. Results : Mean age of the patients was 28.08±12.5. A number of 15 patients (58%) had diffused involvement of the knee joint and 11 (42%) had a localized form of involvement. Mean follow up was 4 years. The mean duration of symptoms prior to presentation was 44.40±38.69 months. In five cases (23%) subtotal synovectomy and in 21 cases (77%) total synovectomy was performed. Two cases (7.7%) had recurrence. In a comparison between new methods vs. routine methods, after adjusting the pre-operation KSS scores, there was a significant difference between both methods in their post-op results. There were no complications in the form of knee instability, infection or neurovascular injury. Conclusion : The PVNS of knee joint especially the diffused form should be carefully observed and managed using appropriate investigations. Staged open total synovectomy with a posterior and then an anterior approach seems to be a superior method for surgical treatment of diffused forms.
کلیدواژه‌های انگلیسی مقاله
نویسندگان مقاله محمود جبل عاملی | mahmoud jabalameli
head of knee department, shafayahyaeyan hospital, iran university of medical science, tehran, iran.


خدامراد جمشیدی | khodamorad jamshidi
head of bone tumor and oncologic surgery department, shafayahyaeyan hospital, iran university of medical science, tehran, iran.

سازمان های دیگر: ShafaYahyaeyan Hospital

مهران رادی | mehran radi
knee surgery fellow, shafayahyaeyan hospital, iran university of medical science, tehran, iran.


حسینعلی هادی | hosseinali hadi
shafayahyaeyan hospital, arak university of medical science, arak, iran.

سازمان اصلی تایید شده: دانشگاه اراک (Arak university)
سازمان های دیگر: ShafaYahyaeyan Hospital

ابوالفضل باقری فرد | abolfazl bagherifard
shafayahyaeyan hospital, iran university of medical science, tehran, iran.
نشانی اینترنتی http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1569-5&slc_lang=en&sid=en
فایل مقاله فایلی برای مقاله ذخیره نشده است
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده 1
برگشت به: صفحه اول پایگاه   |   نسخه مرتبط   |   نشریه مرتبط   |   فهرست نشریات