使用多入口对膝关节内腱鞘巨细胞瘤进行改良关节镜切除术的肿瘤学和功能效果。

IF 1.6 4区 医学
Kotaro Higa, Fuminari Uehara, Chinatsu Azuma, Hiromichi Oshiro, Yasunori Tome, Kotaro Nishida
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引用次数: 0

摘要

背景:关节镜下腱鞘巨细胞瘤(TS-GCT)切除术效果良好。但据报道,切除不彻底的患者复发率较高。为了尽量减少不完全切除,我们根据疾病的位置建立了多入口方法。在这项研究中,我们旨在回顾性评估膝关节局部和弥漫型 TS-GCT 关节镜切除术的临床效果:方法:从 2009 年到 2019 年,本研究共纳入了 13 例接受膝关节镜滑膜切除术并经组织学诊断为 TS-GCT 的患者。测量了术前和术后膝关节的活动范围(ROM)。在最后的随访检查中评估了日本骨科协会(JOA)评分和膝关节损伤与骨关节炎结果评分(KOOS)。磁共振成像用于检测切除不完全或局部复发:13名患者中,分别有7人和6人患有局部型和弥漫型TS-GCT。在膝关节活动度方面,与弥漫型患者相比,局部型患者术前膝关节屈曲受限。不过,两种类型患者的术后膝关节活动度都有明显改善。两种类型患者最终随访时的 JOA 评分和 KOOS 均良好,且两种类型之间无明显差异。两种类型的患者均无复发或不完全切除:结论:无论 TS-GCT 属于哪种类型,所有患者在关节镜手术后都取得了良好的疗效,尤其是失败率为 0%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Oncological and functional outcomes of modified arthroscopic resection for intra-articular tenosynovial giant cell tumor of the knee using multiple portals.

Background: Arthroscopic resection of tenosynovial giant cell tumor (TS-GCT) presents favorable outcomes. However, there are reportedly higher recurrence rates in patients who had incomplete resection. To minimize incomplete resection, we established a multiple portal approach depending on the location of the disease. In this study, we aimed to retrospectively evaluate the clinical outcomes of arthroscopic resection for both localized and diffuse types of TS-GCT of the knee.

Methods: From 2009 to 2019, 13 patients who underwent arthroscopic synovectomy of the knee and were histologically diagnosed with TS-GCT were included in this study. The pre- and postoperative range of motion (ROM) of the knee was measured. The Japanese Orthopaedic Association (JOA) score and the Knee Injury and Osteoarthritis Outcome Score (KOOS) were assessed at the final follow-up examination. Magnetic resonance imaging was performed to detect incomplete resection or local recurrence.

Results: Among the 13 patients, seven and six had localized and diffuse type TS-GCT, respectively. Regarding the knee ROM, preoperative knee flexion in patients with the localized type was limited compared with that in those with the diffuse type. However, the ROM was significantly improved in patients with both types postoperatively. The JOA score and KOOS of patients with both types at the final follow-up were favorable, and there were no significant differences between both types. There was neither recurrence nor incomplete resection in any patient for both types.

Conclusion: All patients, regardless of the TS-GCT type, achieved favorable outcomes after arthroscopic surgery; especially, the failure rate was 0%.

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来源期刊
自引率
0.00%
发文量
91
期刊介绍: Journal of Orthopaedic Surgery is an open access peer-reviewed journal publishing original reviews and research articles on all aspects of orthopaedic surgery. It is the official journal of the Asia Pacific Orthopaedic Association. The journal welcomes and will publish materials of a diverse nature, from basic science research to clinical trials and surgical techniques. The journal encourages contributions from all parts of the world, but special emphasis is given to research of particular relevance to the Asia Pacific region.
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