Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Ankle Arthrodesis for Severe Arthritis Induced by Diffuse-Type Pigmented Villonodular Synovitis: A Case Report

미만성 색소 융모 결절성 활액막염에 의해 발생한 고도의 발목 관절염에 대한 관절 유합술: 증례 보고

  • Kim, Young Kyu (Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Suh, Jin Soo (Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Choi, Jun Young (Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine)
  • 김영규 (인제대학교 의과대학 일산백병원 정형외과학교실) ;
  • 서진수 (인제대학교 의과대학 일산백병원 정형외과학교실) ;
  • 최준영 (인제대학교 의과대학 일산백병원 정형외과학교실)
  • Received : 2018.07.10
  • Accepted : 2018.09.18
  • Published : 2018.12.15
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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.

Keywords

References

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