PVNS设置中的前囊重建。

IF 1.8 Q2 ORTHOPEDICS
Eric Lukosius, Aman Chopra, Selene Parekh
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引用次数: 0

摘要

背景色素沉着绒毛结节性滑膜炎(PVNS)是一种影响肌腱鞘和滑膜组织的良性增殖性疾病。足部和脚踝的色素沉着绒毛结节性滑膜炎复发率很高,如果不完全切除,可能具有破坏性。本病例系列分析了PVNS手术切除后使用一种新技术重建踝关节前囊的功能结果。方法3例PVNS患者在2010年至2020年间接受了手术治疗。手术技术包括后中线入路切除受影响的踝关节PVNS,然后是标准的前入路切除关节囊。随后用再生组织基质和生物可吸收锚定系统进行前囊重建。评估了踝关节和距下关节的术前和术后活动范围、疼痛的视觉模拟评分(VAS)和恢复日常活动,以及适当的射线照片和磁共振成像(MRI)成像。结果所有3例手术的平均随访期为52.3个月(4-123个月),并通过VAS和自我报告活动评估成功恢复。术前踝关节背屈和跖屈、距下内翻和外翻活动范围均正常。术后踝关节运动和距下运动无统计学差异。未观察到PVNS的并发症或复发。结论有必要进行进一步的研究,以更好地了解这项旨在成功消除PVNS复发的技术的临床结果。证据水平IV——回顾性病例系列。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anterior Capsule Reconstruction in the Setting of PVNS.

Background: Pigmented villonodular synovitis (PVNS) is a benign proliferative disease affecting tendon sheaths and synovial tissue. Pigmented villonodular synovitis in the foot and ankle has a high rate of recurrence, which can be destructive if incompletely removed. This case series analyzes functional outcomes after PVNS operative resection with an anterior ankle capsular reconstruction, using a novel technique.

Methods: Three patients with PVNS underwent surgery between 2010 and 2020. The operative technique involved a posterior, midline approach for PVNS resection of the affected ankle joint, followed by a standard anterior approach for capsular excision. Subsequent anterior capsular reconstruction was performed with a regenerative tissue matrix and a bioresorbable anchoring system. Preoperative and postoperative range of motion for the ankle and subtalar joints, visual analog scale (VAS) for pain, and return to daily activities was assessed along with appropriate radiographs and magnetic resonance imaging (MRI) imaging.

Results: All 3 surgeries had a mean follow-up period of 52.3 (range, 4-123) months and resulted in successful recovery as assessed by the VAS and self-reported activity. Preoperative ankle dorsiflexion and plantarflexion along with subtalar inversion and eversion range of motion were all normal. Postoperative ankle motion and subtalar motion were not statistically different. No complications or recurrence of PVNS was observed.

Conclusion: Further investigation is warranted to better understand the clinical outcomes of this technique designed to successfully eliminate PVNS recurrence.

Level of evidence: IV- Retrospective case series.

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来源期刊
Foot and Ankle Specialist
Foot and Ankle Specialist Health Professions-Podiatry
CiteScore
3.10
自引率
0.00%
发文量
100
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