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Open or Arthroscopic Synovectomy Is the Preferred Management Option in Pigmented Villonodular Synovitis of the Hip Joint Without Evidence of Degeneration: A Systematic Review of 20 Studies.
Arthrosc Sports Med Rehabil
October 2022
Department of Trauma and Orthopaedics, Alice Springs Hospital, Alice Springs, Northern Territory, Australia.
Purpose: To provide an up-to-date systematic review on the treatment options for pigmented villonodular synovitis (PVNS) of the hip and provide a grade of recommendation using standardized systems.
Methods: A systematic search of PubMed, Embase, Web of Science, and The Cochrane Library from the date of inception of each database through December 4, 2021, was performed. Studies that described the outcomes of treatment of hip PVNS were identified.
[The synoviorthesis: a reappraisal].
Tunis Med
June 2008
Service de Rhumatologie la Rabra, Tunis, Tunisie.
Background: The evolution of the rheumatologic practice involved a handing-over in question of the place and methods of application of the synoviorthesis. The last innovations, in particular the appearance of the bio-therapies, allowed a better control of inflammatory rheumatism thus making it possible to better select arthritis likely to profit precociously from a synoviorthesis before the installation of major articular destruction.
Aim: Through a general review of the literature, we recall in this work the various means of synoviorthesis, their current indications and their results.
[Pigmented villonodular synovitis].
Presse Med
May 2005
Service de rhumatologie "B" Hôpital El Ayachi, CHU Rabat-Salé, Maroc.
Objective: To evaluate clinical, radiological and histological characteristics as well as outcome of pigmented villonodular synovitis (PVNS) in 14 patients.
Methods: This retrospective study examined data from 14 cases of pathologically-confirmed PVNS over a 10-year period (1990-1999).
Results: All 14 cases (9 women and 5 men) of PVNS involved the knee.
Chemical synoviorthesis with osmic acid in haemophilia.
Haemophilia
July 2001
Service de Rhumatologie B, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, Université René Descartes, Paris, France.
Based on previous experience in inflammatory arthritis, a small number of open studies have evaluated the usefulness of chemical synoviorthesis with osmic acid in haemophilia, with various assessment criteria and a wide range of follow-up periods. Based on these studies, the efficacy of osmic acid seems modest, with 30-44% of good clinical and radiological results, but with fair or poor clinical results in other patients with a possible deleterious effect on cartilage. Osmic acid was found inferior to Yttrium-90 in one retrospective study.
View Article and Find Full Text PDFThe technique of synoviorthesis.
Haemophilia
July 2001
Service of Orthopaedics and Traumatology and Haemophilia Centre, La Paz University Hospital, Madrid, Spain.
Synoviorthesis (medical synovectomy) is a commonly utilized procedure employed in the management of recurrent intra-articular bleeds and secondary chronic synovitis in haemophilic patients. The procedure involves the intra-articular administration of an agent in order to induce fibrosis in the inflamed synovium so reducing the bleeding tendency. Such agents may either be chemical based (osmic acid, rifampicin) or radioactive (yttrium, gold or phosphorus).
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