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Archives of Orthopaedic and Trauma Surgery

, Volume 133, Issue 8, pp 1047–1053 | Cite as

Pigmented villo-nodular synovitis and giant-cell tumor of tendon sheaths: a binational retrospective study

  • Juergen BrunsEmail author
  • V. Ewerbeck
  • M. Dominkus
  • R. Windhager
  • J. Hassenpflug
  • H. Windhagen
  • L. Hovy
  • J. Loehr
  • R. Krauspe
  • H. R. Duerr
Orthopaedic Surgery

Abstract

Aim

Pigmented villonodular synovitis is rare. Thus, we initiated a retrospective multi-center study regarding symptoms, location, type of disease, type of surgery, number of recurrences, use of adjuvant therapies and functional outcome.

Results

Ten centers contributed. Data from 173 patients were sampled. The disease was seen predominantly in joints, less frequently in tendon sheaths and bursae. Patients with articular lesions suffered mainly from the diffuse type. In tendon sheaths, the relation “diffuse versus nodular” was nearly 50 % each, in bursae most often the nodular type was found. Anatomically, mostly the knee was affected. Institutions with more than 20 patients had a lower rate of recurrence than those with less than 20 cases. Regarding the knee, there were less recurrences in joints treated with open synovectomy than in those treated arthroscopically.

Conclusions

Since the rate of recurrence has been rather high, the use of adjuvant treatments (radiosynoviorthesis or radiotherapy) is recommended. In our study, the rate of their application was quite low. Patients who received an adjuvant therapy after primary surgery did not show any recurrence. In 14 % of patients in whom an adjuvant therapy had been used, after at least one recurrence, further recurrences were observed. Functional results were excellent in 84 % of patients.

Level of evidence

Prognostic multi-center study, Level III.

Keywords

Pigmented villonodular synovitis Teno-synovial giant cell tumor Treatment Results Surgery Radiosynoviorthesis Radiotherapy 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Juergen Bruns
    • 1
    Email author
  • V. Ewerbeck
    • 2
  • M. Dominkus
    • 3
  • R. Windhager
    • 3
    • 4
  • J. Hassenpflug
    • 5
  • H. Windhagen
    • 6
  • L. Hovy
    • 7
    • 8
  • J. Loehr
    • 9
  • R. Krauspe
    • 10
  • H. R. Duerr
    • 11
  1. 1.Diakonieklinikum HamburgHamburgGermany
  2. 2.Department of Orthopedic Surgery IUniversity of HeidelbergHeidelbergGermany
  3. 3.Department of Orthopedic SurgeryUniversity Hospital VienaWienAustria
  4. 4.Department of Orthopedic SurgeryUniversity of GrazGrazAustria
  5. 5.Department of Orthopedic SurgeryUniversity Schleswig–Holstein, Campus KielKielGermany
  6. 6.Department of Orthopedic Surgery Medizinische Hochschule Hannover, im Diakoniekrankenhaus AnnastiftHannoverGermany
  7. 7.Department of Orthopedic SurgeryUniversity of Frankfurt-FriedrichsheimFrankfurt am MainGermany
  8. 8.Department of Orthopedic Surgery IIIHannoverGermany
  9. 9.Department of Orthopedic SurgeryUniversity of Schleswig–Holstein CampusLuebeckGermany
  10. 10.Department of Orthopedic SurgeryUniversity of DuesseldorfDüsseldorfGermany
  11. 11.Department of Orthopedic SurgeryLudwig-Maximilian-University MunichMuenchenGermany

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