Systematic review: total knee arthroplasty (TKA) in patients with pigmented villonodular synovitis (PVNS)
Tóm tắt
To determine the functional outcomes, complications and revision rates following total knee arthroplasty (TKA) in patients with pigmented villonodular synovitis (PVNS). We conducted a systematic review of the literature. Five studies with a total of 552 TKAs were included for analysis. The methodological quality of the articles was evaluated using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) scale. Functional outcomes, complications and revision rates were assessed. The mean age was 61 years (range 33–94 years) and the mean follow-up period was 61.1 months (range 0.2–35 years). All the studies reported improvement in knee function following TKA. Post-operative stiffness was the most frequently reported complication, affecting 32.7% (n = 32) of patients in our review. Symptomatic recurrence of PVNS, component loosening, tibial-component fracture, instability and periprosthetic infection were the main factors leading to the need for revision TKA. The findings of this review support the use of TKA to alleviate the functional limitations and pain due to knee degeneration in patients with PVNS. The operating surgeon should be aware of the increased risk of post-operative stiffness, as well as a potentially higher risk of infection. Implant survival should also be considered inferior to the one expected for the general population undergoing TKA.
Tài liệu tham khảo
Gaillard F. Pigmented villonodular synovitis | Radiology Reference Article | Radiopaedia.org. Radiopaedia. Available from: https://radiopaedia.org/articles/pigmented-villonodular-synovitis?lang=gb. [cited 28 Sept 2020]
Verspoor FGM, Zee AAG, Hannink G, van der Geest ICM, Veth RPH, HWB S (2014) Long-term follow-up results of primary and recurrent pigmented villonodular synovitis. Rheumatology (Oxford) 53(11):2063–2070 Available from: https://academic.oup.com/rheumatology/article/53/11/2063/1793301. [cited 28 Sept 2020]
Strading H (2015) Pigmented villonodular synovitis (PVNS). Oxford University Hospitals NHS Trust. Available from: https://www.ouh.nhs.uk/patient-guide/leaflets/files/12241PPVNS.pdf. [cited 28 Sept 2020]
Sakkers RJ, de Jong D, van der Heul RO (1991) X-chromosome inactivation in patients who have pigmented villonodular synovitis. J Bone Joint Surg Am 73(10):1532–1536
Galli M, Ciriello V, Menghi A, Perisano C, Maccauro G, Marzetti E (2012) Localized pigmented villonodular synovitis of the anterior cruciate ligament of the knee: an exceptional presentation of a rare disease with neoplastic and inflammatory features. Int J Immunopathol Pharmacol 25(4):1131–1136
Rao AS, Vigorita VJ (1984) Pigmented villonodular synovitis (giant-cell tumor of the tendon sheath and synovial membrane). A review of eighty-one cases. J Bone Joint Surg Am 66(1):76–94
Dal Cin P, Sciot R, Samson I, De Smet L, De Wever I, Van Damme B et al (1994) Cytogenetic characterization of tenosynovial giant cell tumors (nodular tenosynovitis). Cancer Res 54(15):3986–3987
Fecek C, Carter KR (2020) Pigmented villonodular synovitis. In: StatPearls. StatPearls Publishing, Treasure Island Available from: http://www.ncbi.nlm.nih.gov/books/NBK549850/. [cited 14 Mar 2020]
Aurégan J-C, Klouche S, Bohu Y, Lefèvre N, Herman S, Hardy P (2014) Treatment of pigmented villonodular synovitis of the knee. Arthroscopy 30(10):1327–1341 Available from: http://www.sciencedirect.com/science/article/pii/S0749806314004046. [cited 28 Sept 2020]
Mollon B, Lee A, Busse JW, Griffin AM, Ferguson PC, Wunder JS et al (2015) The effect of surgical synovectomy and radiotherapy on the rate of recurrence of pigmented villonodular synovitis of the knee. Bone Joint J 97-B(4):550–557 Available from: https://online.boneandjoint.org.uk/doi/full/10.1302/0301-620X.97B4.34907. [cited 15 Mar 2020]
Elm E, von ADG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP (2007) The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet 370(9596):1453–1457 [cited 9 Jan 2021]
Casp AJ, Browne JA, Durig NE, Werner BC (2019) Complications after total knee arthroplasty in patients with pigmented villonodular synovitis. J Arthroplasty 34(1):36–39 Available from: https://www.arthroplastyjournal.org/article/S0883-5403(18)30745-9/abstract. [cited 28 Mar 2020]
Houdek MT, Scorianz M, Wyles CC, Trousdale RT, Sim FH, Taunton MJ (2017) Long-term outcome of knee arthroplasty in the setting of pigmented villonodular synovitis. Knee. 24(4):851–855
Lei P, Sun R, Liu H, Zhu J, Wen T, Hu Y (2017) Prognosis of advanced tenosynovial giant cell tumor of the knee diagnosed during total knee arthroplasty. J Arthroplasty 32(6):1850–1855 Available from: https://linkinghub.elsevier.com/retrieve/pii/S0883540317300013. [cited 25 Jun 2020]
Su W, Zhou Y, Lu W, Zeng M, Hu Y, Xie J (2019) Short-term outcomes of synovectomy and total knee replacement in patients with diffuse-type pigmented villonodular synovitis. J Knee Surg. https://doi.org/10.1055/s-0039-1694736 PMID: 31434148. [cited 28 Sept 2020]
Verspoor FGM, Hannink G, Scholte A, Van Der Geest ICM, HWB S (2016) Arthroplasty for tenosynovial giant cell tumors. Acta Orthop 87(5):497–503 Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5016909/. [cited 13 Mar 2020]
Hamlin BR, Duffy GP, Trousdale RT, Morrey BF (1998) Total knee arthroplasty in patients who have pigmented villonodular synovitis. J Bone Joint Surg Am 80(1):76–82
Evans JT, Walker RW, Evans JP, Blom AW, Sayers A, Whitehouse MR (2019) How long does a knee replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up. Lancet 393(10172):655–663 Available from: https://linkinghub.elsevier.com/retrieve/pii/S0140673618325315. [cited 25 Jun 2020]
The NJR Editorial Board (2019) 16th Annual Report 2019 National Joint Registry for England. National Joint Registry, Wales, Northern Ireland and the Isle of Man Available from: https://reports.njrcentre.org.uk/Portals/0/PDFdownloads/NJR%2016th%20Annual%20Report%202019.pdf. [cited 25 Jun 2020]
Scott WN (2011) Insall & Scott surgery of the knee, 5th edn. Churchill Livingstone, London p 1504
Friedman T, Chen T, Chang A (2013) MRI diagnosis of recurrent pigmented villonodular synovitis following total joint arthroplasty. HSS J 9(1):100–105 Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3640717/. [cited 25 Jun 2020]