Ankle Arthrodesis for Severe Arthritis Induced by Diffuse-Type Pigmented Villonodular Synovitis: A Case Report.
10.14193/jkfas.2018.22.4.173
- Author:
Young Kyu KIM
1
;
Jin Soo SUH
;
Jun Young CHOI
Author Information
1. Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. osddr8151@paik.ac.kr
- Publication Type:Case Report
- Keywords:
Ankle;
Arthritis;
Pigmented villonodular synovitis;
Arthrodesis
- MeSH:
Ankle Joint;
Ankle*;
Arthritis*;
Arthrodesis*;
Cartilage;
Foot;
Humans;
Joints;
Knee Joint;
Recurrence;
Synovial Membrane;
Synovitis;
Synovitis, Pigmented Villonodular*;
Tendons
- From:Journal of Korean Foot and Ankle Society
2018;22(4):173-176
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pigmented villonodular synovitis (PVNS) is a proliferative disease that affects the synovial joint, tendon and bursa. PVNS can form a nodular structure in any joint, but it most commonly affects the knee joint and is rare in the foot and ankle joint. PVNS is divided into two types. Localized-type PVNS exhibits focal involvement with a nodular mass, while diffuse-type PVNS involves the entire synovium. Synovitis of the affected joint can also destroy cartilage and bone. Diffuse type accounts for 75% of PVNS and has a reported recurrence rate of 12.2% to 46%; aggressive synovectomy is recommended as the most effective treatment. In localized-type PVNS, only arthroscopic partial synovectomy is effective with a lower recurrence rate. We report a patient with severe ankle joint arthritis induced by diffusetype PVNS. The patient was treated by lateral malleolar ostectomy and ankle arthrodesis with a plate and screws via a lateral approach.
