Modified complete synovectomy prevents recurrence in synovial chondromatosis of the hip

Schoeniger, Ralf; Naudie, Douglas D R; Siebenrock, Klaus A; Trousdale, Robert T; Ganz, Reinhold (2006). Modified complete synovectomy prevents recurrence in synovial chondromatosis of the hip. Clinical orthopaedics and related research, 451, pp. 195-200. Heidelberg: Springer 10.1097/01.blo.0000229280.53109.d5

Text Modified_Complete_Synovectomy_Prevents_Recurrence.36.pdf - Published Version Restricted to registered users only Available under License Publisher holds Copyright. Download (239kB) | Request a copy

Synovial chondromatosis of the hip is a rare disorder with few published reports regarding treatment and outcomes, and therefore, selecting the optimal surgical treatment is difficult. We reviewed eight patients with monoarticular synovial chondromatosis of the hip who had joint débridement and a modified total synovectomy performed through a surgical hip dislocation with a trochanteric flip osteotomy. Patients were evaluated for recurrence of disease, progression of osteoarthritis, clinical outcomes, and subsequent reoperations. The minimum followup was 4 years (mean, 6.5 years). At final review, no patient had recurrence of disease. Two patients had progression of osteoarthritis requiring total hip arthroplasties at 5 and 10 years after the initial surgical intervention. These patients did not show recurrent disease on histologic examination of the synovial membrane at the time of the arthroplasty. The six patients with preserved joints were followed up for a mean of 6.2 years. The mean Merle d'Aubigné and Postel score in this group was 16.5 points (range, 15-18 points) at the latest followup. There were no major or minor complications related to this treatment. Our midterm results suggest that open débridement with modified total synovectomy is an effective treatment that prevents recurrence of disease and provides substantial pain relief. Surgical hip dislocation allows safe and complete access to the joint for débridement and synovectomy with no added morbidity.

Interest & Impact

Downloads

1 since deposited on 04 Oct 2013
1 in the past 12 months

Citations

5 Citations in Web of Science ®
6 Citations in Scopus

Search

in Google Scholar™

Services

Actions (login required)

Edit item

Actions (login required)

Edit item