Total Synovectomy and Bone Grafting/Cementation after Curettage of the Bone Lesion in Diffuse Type of Tenosynovial Giant Cell Tumor: A Retrospective Cohort Study‎

Publish Year: 1402
نوع سند: مقاله ژورنالی
زبان: English
View: 198

This Paper With 6 Page And PDF Format Ready To Download

  • Certificate
  • من نویسنده این مقاله هستم

استخراج به نرم افزارهای پژوهشی:

لینک ثابت به این Paper:

شناسه ملی سند علمی:

JR_TABO-11-5_007

تاریخ نمایه سازی: 27 خرداد 1402

Abstract:

Objectives: Although the diffuse type of tenosynovial giant cell tumor (D-TGCT) is rare, bone involvement is common in such lesions. However, the optimal management of bone lesions in D -TGCT is not well-described. In this study, we reported the outcomes of total synovectomy, curettage, and bone grafting/cementation in the treatment of D-TGCT with subchondral bone involvement. We also described the prevalence, demographic, and characteristic features of the lesions.Methods: In a retrospective study, we included ۱۳ patients with D-TGCT of large joints and associated subchondral cyst/cyst-like bone lesions of ≥ ۵ mm that were managed with total synovectomy and curettage. Cavities with a bone defect of ≤ ۳۰ mm (n=۱۲) were filled with bone grafts. Cavities of > ۳۰ mm (n=۱) were augmented with bone cement. The limb function was evaluated by the Musculoskeletal Tumor Society (MSTS) score.Results: The study population consisted of ۶ (۴۶.۱%) males and ۷ (۵۳.۹%) females with a mean age of ۳۰ ± ۷.۹ years. The most frequent sites of involvement were the knees and ankle joints (n=۵ each, ۳۸.۵%). The mean followup of the patients was ۶۹.۲ ± ۳۲.۹ months. The mean MSTS score of the patients was obtained at ۹۸.۲ ± ۳.۲ (range ۹۰-۱۰۰). The D-TGCT recurred in two patients, both of which were in the synovium. Postoperative complications were three cases of transient pain and one case of knee joint stiffness. While no patient had an osteoarthritic change in preoperative radiographs, two patients had osteoarthritic change (grade II) in the last follow-up, one in the knee and one in the hip.Conclusion: Curettage and filling the defect with bone graft or cement are adequate treatments for managing bone lesions in D-TGCT. Level of evidence: IV

Keywords:

bone lesion , Curettage , Diffuse tenosynovial giant cell tumor , pigmented villonodular synovitis

Authors

Khodamorad Jamshidi

Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

Seyyed Mohammad Ata Sharifi Dalooei

Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

Abolfazl Bagherifard

Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

Alireza Mirzaei

Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

مراجع و منابع این Paper:

لیست زیر مراجع و منابع استفاده شده در این Paper را نمایش می دهد. این مراجع به صورت کاملا ماشینی و بر اساس هوش مصنوعی استخراج شده اند و لذا ممکن است دارای اشکالاتی باشند که به مرور زمان دقت استخراج این محتوا افزایش می یابد. مراجعی که مقالات مربوط به آنها در سیویلیکا نمایه شده و پیدا شده اند، به خود Paper لینک شده اند :
  • Burton TM, Ye X, Parker ED, Bancroft T, Healey J. ...
  • Myers BW, Masi AT, FEIGENBAUM SL. Pigmented villonodular synovitis and tenosynovitis: ...
  • Ogilvie-Harris D, McLean J, Zarnett M. Pigmented villonodular synovitis of the ...
  • Palmerini E, Staals EL, Maki RG, et al. Tenosynovial giant ...
  • Dorwart RH, Genant HK, Johnston WH, Morris JM. Pigmented villonodular synovitis ...
  • Shekhar A, Singh S, Patil SS, Tapasvi SR. Osteochondral lesion in ...
  • Temponi EF, Barros AAG, Paganini VO, Barbosa VAK, Badet R, Carvalho ...
  • Imakiire N, Fujino T, Morii T, et al. Malignant pigmented villonodular ...
  • Myers BW, Masi AT, FEIGENBAUM SL. Pigmented villonodular synovitis and tenosynovitis: ...
  • Ogilvie-Harris D, McLean J, Zarnett M. Pigmented villonodular synovitis of the ...
  • Palmerini E, Staals EL, Maki RG, et al. Tenosynovial giant ...
  • Dorwart RH, Genant HK, Johnston WH, Morris JM. Pigmented villonodular synovitis ...
  • Shekhar A, Singh S, Patil SS, Tapasvi SR. Osteochondral lesion in ...
  • Temponi EF, Barros AAG, Paganini VO, Barbosa VAK, Badet R, Carvalho ...
  • Imakiire N, Fujino T, Morii T, et al. Malignant pigmented villonodular ...
  • نمایش کامل مراجع