Clinical outcomes of total hip arthroplasty for treatment of end-stage hip joint with pigmented villonodular synovitis
10.11659/jjssx.12E017055
- VernacularTitle:全髋关节置换术治疗晚期髋关节色素沉着绒毛结节性滑膜炎的临床疗效
- Author:
Bing ZHOU
1
;
Hai-Liang JIANG
;
Qing-Yu CHEN
;
Xiang WANG
;
Yu-Li WU
Author Information
1. 枣庄矿业集团中心医院骨科
- Keywords:
hip replacement;
athroplasty;
synovectomy;
synovitis;
pigmented villonodular
- From:
Journal of Regional Anatomy and Operative Surgery
2018;27(3):214-217
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical efficacy of total hip arthroplasty for treatment of end-stage hip with pigmented villonodular synovitis(PVNS).Methods From January 2000 to March 2015,a total of 34 patients with hip PVNS were treated by total hip arthroplasty (THA) combined with synovectomy.Pelvic X-ray,CT and MRI examinations were performed before the surgery,and Harris hip joint function score was performed before and after surgery.Systematic rehabilitation training was performed after the operation,and the hip joint X-ray films were regularly reviewed.Results All the 34 patients were reviewed and observed for an average of 5.2 years (ranged from 1.5 to 7 years).The position of the prosthesis was good and the motion of the joint was satisfactory.The mean preoperative Harris hip scores improved from (45.0 ± 6.4) perioperatively to (90.2 ± 3.2) postoperatively,with statistically significant difference (t =0.468,P ＜ 0.05).None of the patients had clinical or radiographic evidence of recurrent PVNS.Conclusion Total hip arthroplasty combined with synovectomy is an effective therapeutic choice for end-stage hip with pigmented villonodular synovitis,which can improve the clinical results and prevent the disease recurrence.
